Active NPI
South Hill Afh LLC II
- Registered Nurse
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- SOUTH HILL AFH LLC II
- Practice address
- 12121 130TH Avenue CT E
Puyallup, WA 98374-4443 - Phone
- (253) 888-1531
- Fax
- (253) 693-9963
- NPI assigned
- Nov 18, 2024
- 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
- Simon N Maina, RN
- Title
- Manager
- Phone
- (732) 582-9512
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
12121 130TH Avenue CT E
Puyallup, WA 98374-4443
Mailing address
12121 130TH Avenue CT E
Puyallup, WA 98374-4443
Phone (253) 888-1531
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2317769 | South Hill Afh LLC II | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Puyallup, WA
- NPI 1316762941
-
- Registered Nurse
- Puyallup, WA
- NPI 1699590562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733443200000",
"number": "1154146033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 130TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983744443",
"telephone_number": "253-888-1531",
"fax_number": "253-693-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 130TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983744443",
"telephone_number": "253-888-1531",
"fax_number": "253-693-9963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH HILL AFH LLC II",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "MAINA",
"authorized_official_first_name": "SIMON",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-582-9512",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
- Sound Pain Alliance (Puget Sound Pain Clinic)
- Sound Recovery Center, LLC
- Sound Sleep Solutions Inc
- Sound Sleep Solutions Inc
- Sound Surgical Associates
- South Hill Childrens Dentistry
- South Hill Family Medicine PC (Sound Family Medicine)
- South Hill General Medical Clinic
- South Hill Operations, LLC (Life Care Center of South Hill)
- South Hill Vision Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.