National Provider Identifier Database

ENVISION HOSPICE OF WASHINGTON LLC
Hospice Care, Community Based


Contact Information

ENVISION HOSPICE OF WASHINGTON LLC
181 S 333RD ST STE C120
FEDERAL WAY, WA98003-7363
Phone: 360-350-4875
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for ENVISION HOSPICE OF WASHINGTON LLC

NPI Number 1477010940
Legal business name
LBN
ENVISION HOSPICE OF WASHINGTON LLC
Authorized official JENNIFER PETERSEN - (CORPORATE DIRECTOR OF COMPLIANCE)
Entity Organization
Organization subpart No
Enumeration date 02/21/2019
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WA Medicaid: 39033384

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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