CENTER FOR HUMAN SERVICES NPI 1053498220

NPI Information

NPI: 1053498220
Provider Name: CENTER FOR HUMAN SERVICES

Other Name: CHS SHORELINE 170TH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
17018 15TH AVE NE
SHORELINE, WA
ZIP 98155
Phone: (206) 362-7282
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CENTER FOR HUMAN SERVICES is a rehabilitation and substance use disorder clinic center in Shoreline, WA. CENTER FOR HUMAN SERVICES NPI is 1053498220. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Chs Shoreline 170th.

The provider's business location address is:

17018 15TH AVE NE
SHORELINE, WA
ZIP 98155-126
Phone: (206) 362-7282
Fax: (206) 362-7152

The provider's authorized official is Beratta Gomillion .
The authorized official title is Executive Director and has the following contact phone number (206) 362-7282.

The CLIA number assigned to this NPI record is 50D2245248 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	251B00000X	Case Management		17015900	WASHINGTON	No
3	251S00000X	Community/Behavioral Health		17015900	WASHINGTON	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	154	WASHINGTON	No
5	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	17015900	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1990308	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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