PROVIDENCE HEALTH & SERVICES NPI 1831639731

NPI Information

  • NPI: 1831639731
  • Provider Name: PROVIDENCE HEALTH & SERVICES
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 50D0909622
  • Address: 12800 BOTHELL EVERETT HWY
    SUITE 290
    EVERETT, WA
    ZIP 98208
  • Phone: (425) 261-3330

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NPI Details

PROVIDENCE HEALTH & SERVICES is a home health aide in Everett, 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. PROVIDENCE HEALTH & SERVICES NPI is 1831639731. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

12800 BOTHELL EVERETT HWY
SUITE 290
EVERETT, WA
ZIP 98208-642
Phone: (425) 261-3330

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Of Enrollments and has the following contact phone number (425) 358-9786.

The CLIA number assigned to this NPI record is 50D0909622 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 7/25/2025.

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
1374U00000XHome 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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