Organization Active NPI

Enlightened Homecare LLC

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1124839055
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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

Updated by the provider on Jan 20, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.