PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1174856892
Home Health in Everett, WA

NPI Status: Active since September 14, 2009

Contact Information

1615 75TH ST SW STE 210
EVERETT, WA
ZIP 98203
Phone: (425) 261-4800
Fax: (425) 261-4868

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 50D0882472
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 04-04-2028

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 Everett, Washington operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1174856892 assigned on September 2009. The practitioner's primary taxonomy code is 251E00000X. 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 Mr. Donald W Anderson Jr. (Assistant Secretary Enrollment)

NPI
1174856892
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1615 75TH ST SW STE 210 EVERETT, WA 98203
Location Phone
(425) 261-4800
Location Fax
(425) 261-4868
Mailing Address
1615 75TH ST SW STE 210 EVERETT, WA 98203
Mailing Phone
(425) 261-4800
Mailing Fax
(425) 261-4868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2009
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
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:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • 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

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

MR. DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENT
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
9003856MEDICAID (05)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0882472
Facility Type
Home Health Agency
Certificate Effective Date
February 07, 1994
Certificate Expiration Date
April 04, 2028
Laboratory Director
SARAH JACKSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Health & Services - Washington to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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 1174856892, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174856892.

Other Providers at the Same Location


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

Family Medicine (Hospice and Palliative Medicine)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Nurse Practitioner (Family)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Physical Therapist
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse (Home Health)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse (Home Health)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse (Home Health)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Licensed Practical Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Nurse's Aide
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse (Home Health)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203
Physical Therapist
1615 75TH ST SW STE 210
EVERETT, WA 98203
Registered Nurse (Home Health)
1615 75TH ST SW STE 210
EVERETT, WA 98203
Physical Therapist
1615 75TH ST SW STE 210
EVERETT, WA 98203
Home Health
1615 75TH ST SW STE 210
EVERETT, WA 98203
Licensed Practical Nurse
1615 75TH ST SW STE 210
EVERETT, WA 98203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174856892, enumerated as an "organization" on September 14, 2009.

The provider is located at 1615 75TH ST SW STE 210 EVERETT, WA 98203 and the phone number is (425) 261-4800.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.