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2021 Boulevard Cohousing LLC

In Home Supportive Care in Olympia, WA. Organization (NPI-2).

NPI number1225898331
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1225898331
Entity type
Organization (NPI-2)
Legal business name
2021 Boulevard Cohousing LLC
Organization subpart
No
Enumeration date
Mar 19, 2024
Certification date
Mar 19, 2024
Last updated
Mar 19, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • 2021 Boulevard (Doing Business As)

Practice location

2021 Boulevard Rd Se
Olympia, WA 98501-3227

Phone 360-259-5000 · Fax 360-357-7049

Mailing address

Po Box 4008
Olympia, WA 98501-0008

Phone 360-259-5000 · Fax 360-357-7049

Authorized official

Daniel Irwin Stusser
Managing Partner
3602595000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care Agency providers in Olympia, WA

All 11 In Home Supportive Care Agency providers in Olympia · All 6,015 providers in Olympia

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