Organization Active NPI

Magdalena Place Afh LLC

  • Adult Care Home Facility
  • Kennewick, WA
National Provider Identifier
1275494874
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MAGDALENA PLACE AFH LLC
Practice address
1207 N Quebec St
Kennewick, WA 99336-8131
Phone
(314) 585-2694
Fax
(509) 396-3300
NPI assigned
Nov 21, 2025
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Peris NgetheNPI 1265390512
Title
Owner
Phone
(314) 585-2694

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
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

1207 N Quebec St
Kennewick, WA 99336-8131

Mailing address

1207 N Quebec St
Kennewick, WA 99336-8131
Phone (314) 585-2694

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1275494874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 N QUEBEC ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368131",
            "telephone_number": "314-585-2694",
            "fax_number": "509-396-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N QUEBEC ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368131",
            "telephone_number": "314-585-2694",
            "fax_number": "509-396-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDALENA PLACE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "NGETHE",
        "authorized_official_first_name": "PERIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-585-2694"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.