Organization Active NPI

CJK Community Homes

  • Community/Behavioral Health Agency
  • Tacoma, WA
National Provider Identifier
1144970542
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CJK COMMUNITY HOMES
Practice address
2367 Tacoma Ave S # 215
Tacoma, WA 98402-1409
Phone
(253) 507-3576
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Mrs. Noemi S Cagatin-PorterNPI 1417604281
Title
Owner/President
Phone
(253) 507-3576

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2367 Tacoma Ave S # 215
Tacoma, WA 98402-1409

Mailing address

2367 Tacoma Ave S # 215
Tacoma, WA 98402-1409
Phone (253) 507-3576

National Provider Directory

National Provider Directory

Locations

2367 Tacoma Ave S
#215
Tacoma, WA 98402
Phone (253) 507-3576

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": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1144970542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 TACOMA AVE S # 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021409",
            "telephone_number": "253-507-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 TACOMA AVE S # 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021409",
            "telephone_number": "253-507-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJK COMMUNITY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "CAGATIN-PORTER",
        "authorized_official_first_name": "NOEMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "253-507-3576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.