# JOSEPHINE CARING COMMUNITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Josephine at Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063407393
- **Authorized official:** TERRY ALLEN ROBERTSON (CEO)
- **Authorized official phone:** (360) 629-2126

## Contact information

- **Practice address:** 9901 272ND PL NW, STANWOOD, WA 98292-7449
- **Practice address phone:** (360) 629-2126
- **Practice address fax:** (360) 629-4543
- **Mailing address:** 9901 272ND PL NW, STANWOOD, WA 98292-7449
- **Mailing address phone:** (360) 629-2126
- **Mailing address fax:** (360) 629-4543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 314000000X | Skilled Nursing Facility | NH143 | WA | Yes |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 07/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4114302 | — | WA |