Organization Active NPI

Nirvana Care Adult Family Home LLC

  • Registered Nurse
  • Lakewood, WA
National Provider Identifier
1366263477
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
NIRVANA CARE ADULT FAMILY HOME LLC
Doing business as
Nirvana Care Adult Family Home LLC
Practice address
9005 Cecile CT SW
Lakewood, WA 98498-5976
Phone
(206) 565-6656
Fax
(206) 770-6295
NPI assigned
Oct 21, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Maureen Waithera Kamau
Title
Provider
Phone
(206) 503-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

9005 Cecile CT SW
Lakewood, WA 98498-5976

Mailing address

9005 Cecile CT SW
Lakewood, WA 98498-5976
Phone (206) 503-8811

Other names 1

  • Nirvana Care Adult Family Home LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1366263477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 CECILE CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985976",
            "telephone_number": "206-503-8811",
            "fax_number": "206-770-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 CECILE CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985976",
            "telephone_number": "206-565-6656",
            "fax_number": "206-770-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA CARE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "WAITHERA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-503-8811"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nirvana Care Adult Family Home LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nirvana Care Adult Family Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.