Organization Active NPI

My Service Mind

  • Adult Care Home Facility
  • Tacoma, WA
National Provider Identifier
1306971809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MY SERVICE MIND
Practice address
10714 114TH Ave SW
Tacoma, WA 98498-1467
Phone
(253) 584-5615
Fax
(253) 588-3318
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mandy H Ma
Title
Executive Director
Phone
(253) 584-5615

Specialties & licenses 1

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

Addresses

Primary practice location

10714 114TH Ave SW
Tacoma, WA 98498-1467

Mailing address

11016 Bridgeport Way SW
Lakewood, WA 98499-3514
Phone (253) 584-5615

Other names 1

  • Angel of My Service Mind Doing business as

National Provider Directory

National Provider Directory

Locations

11016 Bridgeport Way SW
Lakewood, WA 98499

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306971809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993514",
            "telephone_number": "253-584-5615",
            "fax_number": "253-588-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 114TH AVE SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984981467",
            "telephone_number": "253-584-5615",
            "fax_number": "253-588-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SERVICE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-584-5615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel of My Service Mind",
            "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 21, 2022; 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.