NPIMap

Organization Active NPI

Avian Adult Family Home B

  • Registered Nurse
  • Tacoma, WA
National Provider Identifier
1225647688
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
AVIAN ADULT FAMILY HOME B
Doing business as
Avian Adult Family Home D LLC
Practice address
422 122ND St S
Tacoma, WA 98444-3618
Phone
(253) 341-8755
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Rose NdirituNPI 1609492701
Title
Provider
Phone
(253) 341-8755

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
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

422 122ND St S
Tacoma, WA 98444-3618

Mailing address

422 122ND St S
Tacoma, WA 98444-3618

Other names 1

  • Avian Adult Family Home D LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL avianafh@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Avian Adult Family Home B3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1225647688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 122ND ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 122ND ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443618",
            "telephone_number": "253-341-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIAN ADULT FAMILY HOME B",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "NDIRITU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-341-8755"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "avianafh@gmail.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "422 122nd St S",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984443618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avian Adult Family Home D LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 30, 2020; 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.