Organization · Type 2 NPI

International Community Health Services

Assisted Living Facility · Seattle, WA

NPI number 1194223412 Active

Practice location

803 S Lane St
Seattle, WA 98104-3044

Call (206) 788-3759 Map

Mailing address

PO Box 3007
Seattle, WA 98114-3007

Specialties and licenses

Taxonomy	Code	License
Meals Provider	174200000X	None listed
PACE Provider Organization	251T00000X	None listed
Adult Day Care Clinic/Center	261QA0600X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Assisted Living Facility Primary	310400000X	None listed
Respite Care	385H00000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

8 other providers at this address

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NPI record

NPI: 1194223412
Entity type: Organization (Type 2)
Issued: Feb 1, 2018
Last updated: Jan 26, 2021
Status: Active
Subpart: Yes of International Community Health Services

Other names

<unavail>
Ichs Healthy Aging & Wellness Program · doing business as
Ichs Healthy Aging & Wellness Program · doing business as
Ichs Pace · doing business as
Ichs at Legacy House · doing business as
Legacy House · doing business as

Authorized official

Hermes Shahbazian
CFO
(206) 788-3618

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194223412

International Community Health Services's National Provider Identifier is 1194223412, issued on Feb 1, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Seattle, WA. The record was last updated on Jan 26, 2021.