Active NPI
Affable Palace Afh LLC
- Adult Care Home Facility
- Tacoma, WA
National Provider Identifier
1396589669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- AFFABLE PALACE AFH LLC
- Practice address
- 1506 S Jackson Ave
Tacoma, WA 98465-1319 - Phone
- (253) 359-0660
- Fax
- (253) 314-5593
- NPI assigned
- Jun 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ibrahim Kuria, OWNER
- Title
- Provider
- Phone
- (253) 359-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1506 S Jackson Ave
Tacoma, WA 98465-1319
Mailing address
1506 S Jackson Ave
Tacoma, WA 98465-1319
Phone (253) 359-0660
Other names 1
- AFFABLE PALACE AFH LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2291431 | Affable Palace Afh, LLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
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": "1396589669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 S JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651319",
"telephone_number": "253-359-0660",
"fax_number": "253-314-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 S JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984651319",
"telephone_number": "253-359-0660",
"fax_number": "253-314-5593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFABLE 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": "KURIA",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "253-359-0660",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AFFABLE PALACE AFH LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- 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.