Healthcare Provider Details

I. General information

NPI: 1831426352
Provider Name (Legal Business Name): CAROLINE KLINE GALLAND HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 4TH AVE S STE 403
SEATTLE WA
98108-3234
US

IV. Provider business mailing address

7500 SEWARD PARK AVE S
SEATTLE WA
98118-4247
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-8800
  • Fax: 206-722-5210
Mailing address:
  • Phone: 206-725-8800
  • Fax: 206-722-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberIHS.FS.60103742
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberIHS.FS.60103742
License Number StateWA

VIII. Authorized Official

Name: CHRISTINE M AN
Title or Position: ADMINISTRATOR/CHIEF OP OFFICER
Credential:
Phone: 206-725-8800