Healthcare Provider Details

I. General information

NPI: 1811813835
Provider Name (Legal Business Name): SPOKANE HOUSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 E 4TH AVE
SPOKANE WA
99202-3210
US

IV. Provider business mailing address

100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 509-638-6130
  • Fax:
Mailing address:
  • Phone: 509-638-6130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYDEN HYDE
Title or Position: OWNER / MANAGING MEMBER
Credential:
Phone: 509-638-6130