Emerald City Enhanced Services

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

EMERALD CITY ENHANCED SERVICES

Doing business as

Emerald City Health

Practice address

11421 Pacific Hwy SW
Lakewood, WA 98499

Phone

(253) 352-0481

Fax

(253) 212-0360

NPI assigned

Apr 20, 2023

Last updated

May 8, 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

Claudia A Johnson

Title

Ceo

Phone

(253) 352-0481

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emerald City Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Damion Coughlin

  • Registered Nurse
  • Lakewood, WA
  • NPI 1609732601
  NPD

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1184311011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39460",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98496",
            "telephone_number": "253-352-0481",
            "fax_number": "253-212-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11421 PACIFIC HWY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-352-0481",
            "fax_number": "253-212-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CITY ENHANCED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-352-0481"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO2225854",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald City Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ubah Abdullahi Elmi, LPN
• Mai Elmobdy
• Robin Elmore, AA
• Dalal Jamil Elmoussa
• Muzan Elshiek
• Katylin Marie Emerson
• Emery J Chang LLC
• Carol Jean Emery, LMP
• Empowered: ABA Therapy and Consultative Services (Empowered ABA)
• Ryan Endicott, MA

• Assisted Living Facility (Mental Illness) in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Assisted Living Facility (Mental Illness) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.