Healthcare Provider Details

I. General information

NPI: 1821507252
Provider Name (Legal Business Name): DAY SURGERY COMPANIONS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 09/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7743 SEWARD PARK AVE S
SEATTLE WA
98118-4248
US

IV. Provider business mailing address

3815 S OTHELLO ST STE 100-330
SEATTLE WA
98118-3510
US

V. Phone/Fax

Practice location:
  • Phone: 206-497-0468
  • Fax: 206-497-0469
Mailing address:
  • Phone: 206-497-0468
  • Fax: 206-497-0469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateWA

VIII. Authorized Official

Name: MS. LAREE LEE COOPER
Title or Position: CEO
Credential:
Phone: 206-497-0468