Organization Active NPI

Salaam Residential Care LLC

  • Case Management Agency
  • Kent, WA
National Provider Identifier
1174386718
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SALAAM RESIDENTIAL CARE LLC
Practice address
6329 S 212TH St Apt H103
Kent, WA 98032-2496
Phone
(206) 960-1764
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Authorized official

Name
Mohamud WarsameNPI 1912776584
Title
Director
Phone
(425) 477-9310

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6329 S 212TH St Apt H103
Kent, WA 98032-2496

Mailing address

27020 Pacific Hwy S Ste a
Kent, WA 98032-6951
Phone (425) 477-9310

National Provider Directory

National Provider Directory

Locations

27020 Pacific Hwy S
Ste A
Kent, WA 98032

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1174386718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 PACIFIC HWY S STE A",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326951",
            "telephone_number": "425-477-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 S 212TH ST APT H103",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322496",
            "telephone_number": "206-960-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAAM RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "WARSAME",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-477-9310"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.