Organization · Type 2 NPI

Providence Health & Services Washington

Community Based Hospice Care Agency · Lacey, WA

NPI number 1962592295 Active

Practice location

4200 6th Ave SE, Suite 201
Lacey, WA 98503-1042

Call (360) 459-8311 Map

Fax (360) 493-4657

Mailing address

PO Box 24666
Seattle, WA 98124-0666

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	IS-420 (WA)

Community Based Hospice Care Agency: Definition to come...

54 other providers at this address

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CP Sound Wa, LLCCommunity Based Hospice Care Agency Lacey, WA NPI 1659193795

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NPI record

NPI: 1962592295
Entity type: Organization (Type 2)
Issued: Oct 16, 2006
Last updated: May 16, 2025
Status: Active

Other names

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Providence Soundhomecare and Hospice · doing business as
Providence Soundhomecare and Hospice · doing business as

Authorized official

Donald Anderson
Assistant Secretaary Enrollment
(425) 358-9786

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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 1962592295

Providence Health & Services Washington's National Provider Identifier is 1962592295, issued on Oct 16, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Lacey, WA. The record was last updated on May 16, 2025.