1 Empowering Adult Family Home 2

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

1 EMPOWERING ADULT FAMILY HOME 2

Practice address

6211 W Sundance Dr
Spokane, WA 99208-9042

Phone

(509) 957-5679

Fax

(509) 903-0530

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonard Njunge

Title

Owner

Phone

(509) 957-5679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1114663341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 W SUNDANCE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089042",
            "telephone_number": "509-957-5679",
            "fax_number": "509-903-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 W SUNDANCE DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089042",
            "telephone_number": "509-957-5679",
            "fax_number": "509-903-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 EMPOWERING ADULT FAMILY HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "NJUNGE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-957-5679"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.