Faith House Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

FAITH HOUSE AFH LLC

Doing business as

Grace House AFH
Hope House AFH

Practice address

37630 165TH Ave SE
Auburn, WA 98092-9495

Phone

(253) 252-9845

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Mugure

Title

Provider

Phone

(253) 252-9845

Specialties & licenses 1

Addresses

Other names 2

• Grace House AFH Doing business as
• Hope House AFH Doing business as

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1316793268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37630 165TH AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929495",
            "telephone_number": "253-252-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37630 165TH AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929495",
            "telephone_number": "253-252-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOUSE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MUGURE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-252-9845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace House AFH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope House AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Extendicare North Auburn Rehabilitation (Prostep Rehabilitation)
• Sherese Danielle Ezelle
• Vinesa Faaogea-Kabui
• Emily Faber
• Sarah Faison
• Leslie Marie Falch, PA-C
• Marlese A Falls
• Joshua Fancher, PHARMD
• Yasmin Mohamud Farah
• Russell William Faria, D.O.

• Adult Care Home Facility in Auburn, WA
• Providers in Auburn, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.