Raha Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

RAHA ADULT FAMILY HOME LLC

Practice address

2835 S 148TH St
Seatac, WA 98168-4245

Phone

(253) 205-5780

Fax

(253) 322-2317

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Nasra Abdullahi Mohamud, RN, MSNNPI 1558037473

Title

Provider/Owner

Phone

(253) 205-5780

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Nasra Abdullahi Mohamud, RN, MSN

  • Registered Nurse
  • Seatac, WA
  • NPI 1558037473
  NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1093447617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S 148TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981684245",
            "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": "2835 S 148TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981684245",
            "telephone_number": "253-205-5780",
            "fax_number": "253-322-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHA ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "NASRA",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-205-5780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "755672",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RAHAAFHLLC@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "RAHAAFHLLC@YAHOO.COM",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "RAHAAFHLLC@YAHOO.COM",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RAHAAFHLLC@YAHOO.COM",
            "address_1": "2835 S 148th St",
            "city": "Seatac",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981684245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Care Home Facility in Seatac, WA
• Providers in Seatac, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.