Organization Active NPI

Awesome Care Afh LLC

  • Chore Provider
  • Kent, WA
National Provider Identifier
1467276238
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
AWESOME CARE AFH LLC
Practice address
21028 121St PL SE
Kent, WA 98031-2249
Phone
(253) 753-3974
Fax
(253) 981-4821
NPI assigned
Nov 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Moussa Diawara, CNA
Title
Provider
Phone
(253) 753-3974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X Primary

Addresses

Primary practice location

21028 121St PL SE
Kent, WA 98031-2249

Mailing address

21028 121St PL SE
Kent, WA 98031-2249
Phone (253) 753-3974

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1467276238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21028 121ST PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312249",
            "telephone_number": "253-753-3974",
            "fax_number": "253-981-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21028 121ST PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312249",
            "telephone_number": "253-753-3974",
            "fax_number": "253-981-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME CARE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "DIAWARA",
        "authorized_official_first_name": "MOUSSA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-753-3974",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.