PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1962592295
Hospice Care, Community Based in Lacey, WA

NPI Status: Active since October 16, 2006

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
  • Hospice Care, Community Based
  • 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 Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1962592295 assigned on October 2006. The practitioner's primary taxonomy code is 251G00000X 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 Secretaary Enrollment)

NPI
1962592295
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
10-16-2006
Last Update Date
05-16-2025
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According to the Hospice Quality Reporting Program (HQRP) data this facility is other and was certified on 03-25-1985 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
IS-420
License State
WA

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 SECRETAARY 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
3990355MEDICAID (05)WA 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)501511
Ownership TypeOther
Medicare Certification Date03-25-1985
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
228.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
14
Care Provided in Home
Percentage of days patients received care in home
76
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
Not Available - Number of patients is too small to report.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Number of patients is too small to report.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
8
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.9
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
99.7
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
99.5
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
99.5
Hospice Visits in the Last Days of Life
1,521
Hospice Visits in the Last Days of Life
Facility observed rate
43.3
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
155,104
CHC/GIP provided (% days)
Facility observed rate
0.3
CHC/GIP provided (% days)
77
Gaps in nursing visits (% elections)
1,053
Gaps in nursing visits (% elections)
Facility observed rate
64.5
Gaps in nursing visits (% elections)
64
Early live discharges (% live discharges)
227
Early live discharges (% live discharges)
Facility observed rate
7.5
Early live discharges (% live discharges)
61
Late live discharges (% live discharges)
227
Late live discharges (% live discharges)
Facility observed rate
30.0
Late live discharges (% live discharges)
25
Burdensome transitions, Type 1(% live discharges)
227
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
6.6
Burdensome transitions, Type 1 (% live discharges)
49
Burdensome transitions, Type 2(% live discharges)
227
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
3.1
Burdensome transitions, Type 2 (% live discharges)
76
Per-beneficiary spending (U.S. dollars $)
2,166
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
14,066
Per-beneficiary spending (U.S. dollars $)
35
Nurse care minutes per routine home care days (minutes)
154,567
Nurse care minutes per routine home care days (minutes)
Facility observed rate
10.5
Nurse care minutes per routine home care days (minutes)
30
Skilled nursing minutes on weekends (% minutes)
1,624,965
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
9.1
Skilled nursing minutes on weekends (% minutes)
62
Visits near death (% decedents)
1,796
Visits near death (% decedents)
Facility observed rate
85.9
Visits near death (% decedents)
23
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
33
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
16
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
22
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
3
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
5
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
7
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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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 1962592295, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 0 + 9 + 4 + 2 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962592295.

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 1962592295, enumerated as an "organization" on October 16, 2006.

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

Hospice Care, Community Based with taxonomy code 251G00000X.

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