Healthcare Provider Details

I. General information

NPI: 1013838556
Provider Name (Legal Business Name): HOMECARE NORTHWEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 INTERURBAN AVE S STE 271
SEATTLE WA
98168-4654
US

IV. Provider business mailing address

7716 FAUNTLEROY WAY SW
SEATTLE WA
98136-2230
US

V. Phone/Fax

Practice location:
  • Phone: 206-773-7061
  • Fax:
Mailing address:
  • Phone: 206-773-7061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT LAW
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 206-773-7061