Aaa Residential Services Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

319658 Issued in WA

Legal business name

AAA RESIDENTIAL SERVICES INC.

Practice address

9027 Pacific Ave
Suite #4
Tacoma, WA 98444-6247

Phone

(800) 774-0210

Fax

(253) 539-2805

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Richard Larson

Title

Ceo

Phone

(253) 261-3999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1497949556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 PACIFIC AVE",
            "address_2": "SUITE #4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446247",
            "telephone_number": "800-774-0210",
            "fax_number": "253-539-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 PACIFIC AVE",
            "address_2": "SUITE #4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446247",
            "telephone_number": "800-774-0210",
            "fax_number": "253-539-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA RESIDENTIAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-261-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WA",
            "license": "319658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.