Organization Active NPI

Ascension Afh Inc

  • Adult Care Home Facility
  • University Place, WA
National Provider Identifier
1508503665
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ASCENSION AFH INC
Practice address
4812 80TH Ave W
University Place, WA 98467-1918
Phone
(919) 817-9207
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Anthony Mwaura
Title
Manager
Phone
(919) 817-9207

Specialties & licenses 1

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

Addresses

Primary practice location

4812 80TH Ave W
University Place, WA 98467-1918

Mailing address

4812 80TH Ave W
University Place, WA 98467-1918

Other identifiers 1

IdentifierTypeStateIssuer
2205376MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ascensionafhinc@gmail.com

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2263894Ascension Afh Inc4812 80TH Ave W, University Place, WA 98467Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1508503665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 80TH AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984671918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 80TH AVE W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984671918",
            "telephone_number": "919-817-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION AFH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "MWAURA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-817-9207"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205376",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ascensionafhinc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4812 80th Ave W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984671918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.