Pediatric Home Care, Inc., NPI 1134178098
Home Health Agency in Spokane Valley, WA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1134178098 |
| NPI Entity Type | Organization |
| Provider Name |
Pediatric Home Care, Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1120 North Mullan Road, Suite 206, Spokane Valley, WA, US |
| Provider Mailing Address | 400 Interstate North Parkway, Se, Suite 1600 - Attn: Licensing, Atlanta, GA, US, 303395047 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Vicki Whiteside |
| Official Position | DIRECTOR-REGULATORY LICENSING |
| Phone | 770-248-8740 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 00000344 |
| License State | WA |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| PF00057031 | WA | No | |||
| PF00057031 | WA | No | |||
| PF00057031 | WA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 9051780 | WA | MEDICAID | 05 |
| 7331622 | WA | MEDICAID | 05 |
| 806189200 | ID | MEDICAID | 05 |
| 806198700 | ID | MEDICAID | 05 |
| 6025159 | WA | MEDICAID | 05 |
| 0213350 | MT | MEDICAID | 05 |
| 0561646 | MT | MEDICAID | 05 |
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