Adella Eldercare Group LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADELLA ELDERCARE GROUP LLC

Practice address

2904 S 288TH St
Federal Way, WA 98003-7908

Phone

(206) 502-7084

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Adella Mumbua Mwanzia, MD

Title

Director

Phone

(206) 502-7084

Specialties & licenses 1

Addresses

Other names 1

• adella eldercare group llc Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1043923121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 S 288TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037908",
            "telephone_number": "206-502-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 S 288TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037908",
            "telephone_number": "206-502-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELLA ELDERCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MWANZIA",
        "authorized_official_first_name": "ADELLA",
        "authorized_official_middle_name": "MUMBUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-502-7084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://nppes.cms.hhs.gov/IAWeb/home/",
            "affiliation": "N",
            "endpointDescription": "national plan and provider enumeration system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2904 S 288th St",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980037908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "adella eldercare group llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.