Active NPI
My Service Mind
- Adult Care Home Facility
- Tacoma, WA
National Provider Identifier
1306971809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.