Willow Brook Afh Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WILLOW BROOK AFH INC

Practice address

615 Summit Ave N
Kent, WA 98030-4707

Phone

(206) 612-0692

NPI assigned

May 21, 2024

Last updated

May 21, 2024By 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

Margaret Mwangi

Title

Afh Provider

Phone

(206) 612-0692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1144069980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SUMMIT AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304707",
            "telephone_number": "206-612-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SUMMIT AVE N",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304707",
            "telephone_number": "206-612-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW BROOK AFH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "206-612-0692"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Kent, WA
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• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.