TAKE AIM INDEPENDENT LIVING SOLUTIONS, LLC
NPI 1912368341
Community/Behavioral Health in Ferndale, WA

Active since March 12, 2016
5508 POPLAR PL, FERNDALE, WA 98248(360) 305-2251 Get Directions Write a Review

NPPES record last updated: March 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About TAKE AIM INDEPENDENT LIVING SOLUTIONS, LLC

This page provides the complete NPI Profile along with additional information for Take Aim Independent Living Solutions, Llc, a provider established in Ferndale, Washington operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1912368341 assigned on March 2016. The practitioner's primary taxonomy code is 251S00000X with license number SC60593114 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Stacie Ann Owen Msw (Director)

NPI
1912368341 Verify this NPI
Provider Name
TAKE AIM INDEPENDENT LIVING SOLUTIONS, LLC
Entity Type
Organization
Location Address
5508 POPLAR PL FERNDALE, WA 98248
Location Phone
(360) 305-2251
Mailing Address
5508 POPLAR PL FERNDALE, WA 98248
Mailing Phone
(360) 305-2251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2016
Last Update Date
03-12-2016
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
SC60593114
License State
WA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MRS. STACIE ANN OWEN MSW

Authorized Official Title
DIRECTOR
Authorized Official Phone
(350) 305-2251

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912368341, enumerated as an "organization" on March 12, 2016.

The provider is located at 5508 POPLAR PL FERNDALE, WA 98248 and the phone number is (360) 305-2251.

Community/Behavioral Health with taxonomy code 251S00000X.