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

Q: What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since May 23, 2005

4200 6TH AVE SE, SUITE 201, LACEY, WA 98503(360) 459-8311(360) 493-4657 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Nov 8, 2018 (2 updates tracked since 2018).

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About Providence Health & Services Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1063415198), doing business as Providence Soundhomecare And Hospice, is a healthcare organization registered as a home health in Lacey, Washington and active in the NPI registry since May 2005. The organization lists Donald Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1063415198

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON

Location Address4200 6TH AVE SE, SUITE 201Lacey, WA 98503-1042

Mailing AddressPo Box 24666Seattle, WA 98124-0666 · (503) 893-7120 · Fax (425) 276-3215

Phone(360) 459-8311

Fax(360) 493-4657

Organization SubpartNo

Authorized OfficialDonald AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateMay 23, 2005

Last NPPES UpdateMay 16, 20252 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1063415198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in WA · IS-420

Definition

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.

4200 6TH AVE SE, Lacey, WA 98503

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Other Names 1

Doing Business AsProvidence Soundhomecare And Hospice

Other Identifiers 5

Medicaid9040452WA

Medicaid9040460WA

Medicaid9040486WA

Medicaid9040478WA

Medicaid9048661WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANICE SAMPSON-HALL

Registered Nurse