Provider Demographics
NPI:1164006417
Name:PERFORMANCE MODALITIES, INC.
Entity Type:Organization
Organization Name:PERFORMANCE MODALITIES, INC.
Other - Org Name:PERFORMANCE HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:LUANA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-569-4601
Mailing Address - Street 1:PO BOX 94307
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6607
Mailing Address - Country:US
Mailing Address - Phone:253-372-5530
Mailing Address - Fax:253-854-4891
Practice Address - Street 1:120 14TH AVE SE STE A
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3718
Practice Address - Country:US
Practice Address - Phone:866-687-4463
Practice Address - Fax:877-414-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies