Active NPI
Enlightened Homecare LLC
- Adult Care Home Facility
- Spokane, WA
National Provider Identifier
1124839055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- ENLIGHTENED HOMECARE LLC
- Practice address
- 5101 W Shawnee Ave
Spokane, WA 99208-9404 - Phone
- (509) 418-3377
- NPI assigned
- Jan 20, 2025
- 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
- Dieume Mungualinipa
- Title
- Provider
- Phone
- (509) 418-3377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
5101 W Shawnee Ave
Spokane, WA 99208-9404
Mailing address
5101 W Shawnee Ave
Spokane, WA 99208-9404
Phone (509) 418-3377
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737331200000",
"number": "1124839055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 W SHAWNEE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992089404",
"telephone_number": "509-418-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 W SHAWNEE AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992089404",
"telephone_number": "509-418-3377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTENED HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-19",
"status": "A",
"authorized_official_last_name": "MUNGUALINIPA",
"authorized_official_first_name": "DIEUME",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "509-418-3377"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.