NPIMap

Organization Active NPI

A League of Action Community Development Corporation

  • Rehabilitation Clinic/Center
  • Tacoma, WA
National Provider Identifier
1023787397
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION
Doing business as
Special's Foundation
Practice address
252 Broadway Apt 620
Tacoma, WA 98402-4003
Phone
(253) 398-0203
NPI assigned
Sep 9, 2021
Organization subpart
Yes
Parent organization
SPECIAL'S FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlita Harris
Title
Owner
Phone
(253) 398-0203

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Clinic/Center 261QR0400X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

252 Broadway Apt 620
Tacoma, WA 98402-4003

Mailing address

5940 S Rainbow Blvd
Las Vegas, NV 89118-2506
Phone (253) 398-0203

Other names 1

  • Special's Foundation Doing business as

National Provider Directory

National Provider Directory
Part of
A League of Action Community Development Corporation

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1023787397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182506",
            "telephone_number": "253-398-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 BROADWAY APT 620",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024003",
            "telephone_number": "253-398-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIAL'S FOUNDATION",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CHARLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-398-0203"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special's Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Special's Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.