ADVISACARE HEALTHCARE SOLUTIONS, INC. — NPI 1003007105 (CMS-Certified Home Health Care & Skilled Nursing Agency in FIFE, WA)

CMS-1500 Box 24J / 33a • NPI

1003007105

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

3600 PORT OF TACOMA RD STE 511, FIFE, WA, 98424-1044

✓ 9-Digit EDI 837 ZIP+4 (98424-1044)

Practice Phone & Referral Fax

(253) 922-5501

Fax: (253) 922-5308

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003007105 (ADVISACARE HEALTHCARE SOLUTIONS, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003007105` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVISACARE HEALTHCARE SOLUTIONS, INC.
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	3600 PORT OF TACOMA RD STE 511, FIFE, WA, 98424-1044
Practice Telephone / Fax	Tel: (253) 922-5501 \| Fax: (253) 922-5308
Administrative Mailing Address	4234 CASCADE RD SE, GRAND RAPIDS, MI, 49546-8384
Enumeration & Last Sync	Enumerated: 2007-08-05 \| CMS Record Updated: 2013-08-16
Authorized Official	LISE' SKOGEN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3600 PORT OF TACOMA RD STE 511, FIFE, WA, 98424-1044

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Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVISACARE HEALTHCARE SOLUTIONS, INC.)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: WA \| License: `602586915` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVISACARE HEALTHCARE SOLUTIONS, INC. (NPI #1003007105)