Organization Active NPI

Cornerpointe Adult Family Home LLC

  • Adult Care Home Facility
  • Federal Way, WA
National Provider Identifier
1376390740
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CORNERPOINTE ADULT FAMILY HOME LLC
Practice address
2008 S 372ND St
Federal Way, WA 98003-7570
Phone
(206) 488-4977
NPI assigned
May 3, 2024
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Perpetua Wairima
Title
Adult Care Home
Phone
(206) 488-4977

Specialties & licenses 1

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

Addresses

Primary practice location

2008 S 372ND St
Federal Way, WA 98003-7570

Mailing address

2008 S 372ND St
Federal Way, WA 98003-7570

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2336997Cornerpointe Adult Family Home2008 South 372ND Street, Federal Way, WA 98003Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1376390740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 S 372ND ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 S 372ND ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037570",
            "telephone_number": "206-488-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERPOINTE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "WAIRIMA",
        "authorized_official_first_name": "PERPETUA",
        "authorized_official_title_or_position": "ADULT CARE HOME",
        "authorized_official_telephone_number": "206-488-4977"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.