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HEALTHY LIVING AT HOME - VANCOUVER LLC NPI 1255812020


NPI Information

NPI: 1255812020
Provider Name: HEALTHY LIVING AT HOME - VANCOUVER, LLC

Other Name: HEALTHY LIVING AT HOME - VANCOUVER, LLC

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 50D2156102

Address:
1499 SE TECH CENTER PL STE 140
VANCOUVER, WA
ZIP 98683
Phone: (360) 859-4886
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HEALTHY LIVING AT HOME - VANCOUVER, LLC is a home health in Vancouver, WA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HEALTHY LIVING AT HOME - VANCOUVER, LLC NPI is 1255812020. The provider is registered as an organization entity type.
The provider Other Name Is Healthy Living At Home - Vancouver, Llc.

The provider's business location address is:

1499 SE TECH CENTER PL STE 140
VANCOUVER, WA
ZIP 98683-575
Phone: (360) 859-4886
Fax: (360) 859-4891

The provider's authorized official is Stephen Murphy .
The authorized official title is Svp, Finance and has the following contact phone number (888) 871-0766.

The CLIA number assigned to this NPI record is 50D2156102 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 7/25/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthWASHINGTONYes

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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