Individual provider Active NPI

Amos Nganga Njogu

  • Adult Care Home Facility
  • Port Orchard, WA
National Provider Identifier
1053241463
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
759040 Issued in WA
Practice address
2763 Grand Fir PL SE
Port Orchard, WA 98366-2810
Phone
(206) 627-7483
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 759040 WA Primary

Addresses

Primary practice location

2763 Grand Fir PL SE
Port Orchard, WA 98366-2810

Mailing address

2763 Grand Fir PL SE
Port Orchard, WA 98366-2810
Phone (206) 627-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
759040WAMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1053241463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 GRAND FIR PL SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662810",
            "telephone_number": "206-627-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 GRAND FIR PL SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662810",
            "telephone_number": "206-627-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOGU",
        "first_name": "AMOS",
        "middle_name": "NGANGA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "759040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.