A Blissful Haven Afh LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN600034807 Issued in WA

Legal business name

A BLISSFUL HAVEN AFH LLC

Practice address

3031 S Jefferson St
Spokane, WA 99203-1339

Phone

(509) 230-2384

Fax

(509) 838-7873

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By 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

Olamide Adetoro AdewaleNPI 1083243372

Title

Provider

Phone

(509) 230-2384

Specialties & licenses 1

Addresses

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.

• Olamide Adetoro Adewale

  • Registered Nurse
  • Spokane, WA
  • NPI 1083243372
  NPD (past) Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1225489701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S JEFFERSON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031339",
            "telephone_number": "509-230-2384",
            "fax_number": "509-838-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S JEFFERSON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031339",
            "telephone_number": "509-230-2384",
            "fax_number": "509-838-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BLISSFUL HAVEN AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_middle_name": "ADETORO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "509-230-2384"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN600034807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 8 Days a Week Dental
• A and B Physical Therapy PLLC (South Hill Physical Therapy)
• A Brief Counseling Center
• A Brief Counseling Center
• A Center for Health and Wellness P
• A Community Wellness Clinic LLC
• A Foundation for Health & Healing PC

• Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.