PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1063415198
Home Health in Lacey, WA

NPI Status: Active since May 23, 2005

Contact Information

4200 6TH AVE SE
SUITE 201
LACEY, WA
ZIP 98503
Phone: (360) 459-8311
Fax: (360) 493-4657

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  • Organization
  • Home Health
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a provider established in Lacey, Washington operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1063415198 assigned on May 2005. The practitioner's primary taxonomy code is 251E00000X with license number IS-420 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald Anderson Jr. (Assistant Secretary Enrollments)

NPI
1063415198
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4200 6TH AVE SE SUITE 201 LACEY, WA 98503
Location Phone
(360) 459-8311
Location Fax
(360) 493-4657
Mailing Address
PO BOX 24666 SEATTLE, WA 98124
Mailing Phone
(503) 893-7120
Mailing Fax
(360) 493-4657
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2005
Last Update Date
05-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
IS-420
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9040452MEDICAID (05)WA 
9040460MEDICAID (05)WA 
9040486MEDICAID (05)WA 
9040478MEDICAID (05)WA 
9048661MEDICAID (05)WA 

Reviews for PROVIDENCE HEALTH & SERVICES WASHINGTON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063415198, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 1 + 1 + 0 + 1 + 1 + 8 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063415198.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
4200 6TH AVE SE, SUITE 203
LACEY, WA 98503
Specialist
4200 6TH AVE SE, SUITE 202
LACEY, WA 98503
Specialist
4200 6TH AVE SE, SUITE 202
LACEY, WA 98503
Physical Therapist
4200 6TH AVE SE
LACEY, WA 98503
Occupational Therapist
4200 6TH AVE SE
LACEY, WA 98503
Physical Therapy Assistant
4200 6TH AVE SE
LACEY, WA 98503
Physical Therapist
4200 6TH AVE SE
LACEY, WA 98503
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Physical Therapist
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Physical Therapy Assistant
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Licensed Practical Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Physical Therapy Assistant
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Occupational Therapist
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Licensed Practical Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Licensed Practical Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Registered Nurse
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503
Physical Therapist
4200 6TH AVE SE, SUITE 201
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063415198, enumerated as an "organization" on May 23, 2005.

The provider is located at 4200 6TH AVE SE SUITE 201 LACEY, WA 98503 and the phone number is (360) 459-8311.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to verify.