Cordial Palace Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CORDIAL PALACE AFH LLC

Doing business as

Cordial Palace Afh LLC

Practice address

9001 Ridgeview Cir W
University Place, WA 98466-1334

Phone

(253) 226-4800

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 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

Purity WakabaNPI 1750862009

Title

Provider

Phone

(253) 226-4800

Specialties & licenses 1

Addresses

Other names 1

• CORDIAL PALACE AFH LLC Doing business as

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

CLIA laboratory certificates

Tax ID family

Cordial Palace Afh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cordial Palace B Afh LLC

  • Adult Care Home Facility
  • Lakewood, WA
  • NPI 1700620531
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Purity Wakaba, RN

  • Registered Nurse
  • University Place, WA
  • NPI 1750862009
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1396589578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 RIDGEVIEW CIR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661334",
            "telephone_number": "253-226-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 RIDGEVIEW CIR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661334",
            "telephone_number": "253-226-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDIAL PALACE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WAKABA",
        "authorized_official_first_name": "PURITY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-226-4800"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORDIAL PALACE AFH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Connor, NREMT
• Angel Rene Constante-Rodriguez, DPT
• John Alie Conteh, EDD., LMHC
• Continuum Therapeutics, LLC
• Alta Katherine Corcilius
• Cassondra Cordova, MHP, LMHCA
• Edward D Corley, DC
• Cornerstone Caregiving West LLC
• Bruce Edward Corns, LMP
• Cossmedic Wellness and Aesthetics PLLC (Cossmedic Wellness and Aesthetics)

• Adult Care Home Facility in University Place, WA
• Providers in University Place, 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 Jun 21, 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.