Brookdale Home Health – Home Health Agency, NPI 1205403144

Brookdale Home Health is a healthcare provider. based in Lynnwood, Washington. specializing in Home Health Agency. The NPI Number for Brookdale Home Health is 1205403144

Main info

Organization
Name
Brookdale Home Health
NPI
1205403144
Phone
(206) 417-7700
Address
19009 33RD AVE W STE 330
Authorized Official
JOSHUA L PROFFITT III PRESIDENT
Enumeration Date
9 June 2021
Last Update Date
27 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Brookdale Home Health

  • 19009 33RD AVE W STE 330

    LYNNWOOD, WA 980364741

    Phone: (206) 417-7700

    Fax: (206) 417-7701

    Type: Location

  • PO BOX 51266

    LAFAYETTE, LA 705051266

    Phone: (337) 233-1307

    Fax: (337) 443-4154

    Type: Mailing

  • 11241 WILLOWS RD NE STE 210

    REDMOND, WA 980521009

    Phone: (206) 417-7700

    Fax: (206) 417-7701

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210816001044OHome Health AgencyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98036)

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Reviews

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Frequently asked questions

What number should I use to identify Brookdale Home Health for billing?
Administrative and clinical systems typically use NPI 1205403144 for Brookdale Home Health.
Is Brookdale Home Health currently accepting referrals based on NPI status?
Registry metadata lists Brookdale Home Health as active.
What type of care does Brookdale Home Health provide?
Brookdale Home Health's profile centers on Home Health Agency. Clinical services aligned with this taxonomy classification.
What city is tied to Brookdale Home Health?
The directory associates Brookdale Home Health with Lynnwood, Washington. Check all listed addresses for suites or satellite offices.
Who maintains Brookdale Home Health's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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