NPIMap

Organization Active NPI

Sahara Adult Family Home Inc.

  • Adult Care Home Facility
  • Marysville, WA
National Provider Identifier
1396176699
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
750156 Issued in WA
Legal business name
SAHARA ADULT FAMILY HOME INC.
Practice address
4913 61St Dr NE
Marysville, WA 98270-7552
Phone
(360) 913-0152
NPI assigned
Dec 12, 2013
Last updated
Dec 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Ms. Baljeet Kaur Hans
Title
President
Phone
(360) 913-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 750156 WA Primary

Addresses

Primary practice location

4913 61St Dr NE
Marysville, WA 98270-7552

Mailing address

4913 61St Dr NE
Marysville, WA 98270-7552
Phone (360) 913-0152

Other identifiers 1

IdentifierTypeStateIssuer
608552OtherWAADULT FAMILY HOME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1396176699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 61ST DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707552",
            "telephone_number": "360-913-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 61ST DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707552",
            "telephone_number": "360-913-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA ADULT FAMILY HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "HANS",
        "authorized_official_first_name": "BALJEET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-913-0152",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FAMILY HOME",
            "identifier": "608552",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.