NPIMap

Organization Active NPI

Raha Private Duty Nurse LLC

  • Nursing Care Agency
  • Kent, WA
National Provider Identifier
1073258240
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
RAHA PRIVATE DUTY NURSE LLC
Practice address
24452 109TH PL SE
Kent, WA 98030-4932
Phone
(253) 205-5780
Fax
(253) 322-2317
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Nasra Abdullahi Mohamud, RN, MSNNPI 1558037473
Title
Owner
Phone
(253) 205-5780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

24452 109TH PL SE
Kent, WA 98030-4932

Mailing address

24452 109TH PL SE
Kent, WA 98030-4932
Phone (253) 205-5780

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NASRAAMOHAMUD@GMAIL.COM Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1073258240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24452 109TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304932",
            "telephone_number": "253-205-5780",
            "fax_number": "253-322-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24452 109TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304932",
            "telephone_number": "253-205-5780",
            "fax_number": "253-322-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHA PRIVATE DUTY NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "NASRA",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-205-5780",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NASRAAMOHAMUD@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24452 109th Pl SE",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980304932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.