Organization Active NPI

LK Compass Healthcare Agency LLC

  • Case Manager/Care Coordinator
  • Everett, WA
National Provider Identifier
1093540791
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Lillian KirungiNPI 1194556217
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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "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.

Verify at the official NPI Registry.