Organization Active NPI

Mindful Senior Care LLC

  • Adult Care Home Facility
  • Redmond, WA
National Provider Identifier
1225824717
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MINDFUL SENIOR CARE LLC
Practice address
17416 NE 38TH St
Redmond, WA 98052-5704
Phone
(253) 386-6427
Fax
(206) 299-9316
NPI assigned
Apr 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Authorized official

Name
Mr. James Njuguna, CNA
Title
Entity Representative
Phone
(253) 386-6427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

17416 NE 38TH St
Redmond, WA 98052-5704

Mailing address

17416 NE 38TH St
Redmond, WA 98052-5704
Phone (253) 386-6427

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2315366Mindful Senior Care LLC17416 NE 38TH St, Redmond, WA 98052Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1225824717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17416 NE 38TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525704",
            "telephone_number": "253-386-6427",
            "fax_number": "206-299-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 NE 38TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525704",
            "telephone_number": "253-386-6427",
            "fax_number": "206-299-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "NJUGUNA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ENTITY REPRESENTATIVE",
        "authorized_official_telephone_number": "253-386-6427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; 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.