Healthcare Provider Details
I. General information
NPI: 1285294819
Provider Name (Legal Business Name): HARBOR HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2019
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 4TH AVE E
OLYMPIA WA
98506-4630
US
IV. Provider business mailing address
2999 N 44TH ST STE 100
PHOENIX AZ
85018-7247
US
V. Phone/Fax
- Phone: 360-952-5252
- Fax: 360-558-7916
- Phone: 480-618-5760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
LOVELL
Title or Position: VICE PRESIDENT
Credential:
Phone: 480-618-5760