COMMUNITY INTEGRATED SERVICES LLC
NPI 1902146459
In Home Supportive Care in Federal Way, WA
- Organization
- In Home Supportive Care
- CLIA Number: 50D2245317
- CLIA Cert. Type: Other - SUPPORTED LIVING
- CLIA Exp. Date: 04-04-2028
About COMMUNITY INTEGRATED SERVICES LLC
This page provides the complete NPI Profile along with additional information for Community Integrated Services Llc, a provider established in Federal Way, Washington operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1902146459 assigned on February 2013. The practitioner's primary taxonomy code is 253Z00000X with license number 602 287 094 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Joan Cardwell (Program Administrator)
- NPI
- 1902146459 Verify this NPI
- Provider Name
- COMMUNITY INTEGRATED SERVICES LLC
- Entity Type
- Organization
- Location Address
- 33530 1ST WAY S STE 104 FEDERAL WAY, WA 98003
- Location Phone
- (253) 952-0502
- Location Fax
- (253) 952-0512
- Mailing Address
- 33530 1ST WAY S STE 104 FEDERAL WAY, WA 98003
- Mailing Phone
- (253) 952-0502
- Mailing Fax
- (253) 952-0512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2013
- Last Update Date
- 10-31-2024
- Code Navigator
Location Map
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
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- License No.
- 602 287 094
- License State
- WA
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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
- 50D2245317
- Facility Type
- Other - SUPPORTED LIVING
- Certificate Effective Date
- December 10, 2021
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JOAN CARDWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Community Integrated Services Llc 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902146459, enumerated as an "organization" on February 20, 2013.
The provider is located at 33530 1ST WAY S STE 104 FEDERAL WAY, WA 98003 and the phone number is (253) 952-0502.
In Home Supportive Care with taxonomy code 253Z00000X.
