Active NPI
LK Compass Healthcare Agency LLC
- Case Manager/Care Coordinator
- Everett, WA
National Provider Identifier
1093540791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- LK COMPASS HEALTHCARE AGENCY LLC
- Practice address
- 10115 Holly Dr Apt M203
Everett, WA 98204-8761 - Phone
- (425) 399-6821
- NPI assigned
- Sep 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lillian Kirungi
- Title
- Member
- Phone
- (425) 399-6821
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
10115 Holly Dr Apt M203
Everett, WA 98204-8761
Mailing address
10115 Holly Dr Apt M203
Everett, WA 98204-8761
Phone (425) 399-6821
National Provider Directory
National Provider Directory- Tax ID family
- LK Compass Healthcare Agency LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Everett, WA
- NPI 1114752516
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": "1725408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1093540791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 HOLLY DR APT M203",
"city": "EVERETT",
"state": "WA",
"postal_code": "982048761",
"telephone_number": "425-399-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10115 HOLLY DR APT M203",
"city": "EVERETT",
"state": "WA",
"postal_code": "982048761",
"telephone_number": "425-399-6821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LK COMPASS HEALTHCARE AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "KIRUNGI",
"authorized_official_first_name": "LILLIAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "425-399-6821"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.