PACIFIC NORTHWEST CARE LLC. NPI 1114776879

NPI Information

  • NPI: 1114776879
  • Provider Name: PACIFIC NORTHWEST CARE, LLC.
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • Address: 29252 SCENIC DR NE
    POULSBO, WA
    ZIP 98370
  • Phone: (360) 360-2350

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NPI Details

PACIFIC NORTHWEST CARE, LLC. is a home health aide in Poulsbo, WA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. PACIFIC NORTHWEST CARE, LLC. NPI is 1114776879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29252 SCENIC DR NE
POULSBO, WA
ZIP 98370-327
Phone: (360) 360-2350

The provider's authorized official is Kenneth Jay Vanderdoes .
The authorized official title is Governor and has the following contact phone number (360) 710-7067.

The enumeration date for this NPI number is 5/15/2024 and was last updated on 6/10/2024.

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
1372500000XChore ProviderNo
2372600000XAdult CompanionNo
3374U00000XHome Health AideYes

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: 11/21/2025

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