MEDICARE: GIVING HOMES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1831920412
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIVING HOMES LLC

Provider Business Mailing Address
First Line	:	409 COLUMBIA ST
Second Line	:
City	:	NORTH BONNEVILLE
State	:	WA
Zip	:	98639-4606
Country	:	US
Telephone Number	:	360-831-1750
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 COLUMBIA ST
Second Line	:
City	:	NORTH BONNEVILLE
State	:	WA
Zip	:	98639-4606
Country	:	US
Telephone Number	:	360-831-1750
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY DRYNAN
Credential	:
Telephone Number	:	360-831-1750

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	04/22/2026

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