Provider Demographics
NPI:1366717852
Name:CARING SUPPORT NORTHWEST, INC
Entity type:Organization
Organization Name:CARING SUPPORT NORTHWEST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-917-5230
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:WAUNA
Mailing Address - State:WA
Mailing Address - Zip Code:98395-0415
Mailing Address - Country:US
Mailing Address - Phone:360-917-5230
Mailing Address - Fax:360-895-1968
Practice Address - Street 1:3208 50TH STREET CT NW
Practice Address - Street 2:SUITE 205A
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8590
Practice Address - Country:US
Practice Address - Phone:360-917-5230
Practice Address - Fax:360-895-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60254867253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care