Decorum Private Healthcare LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

DECORUM PRIVATE HEALTHCARE LLC

Practice address

11030 7TH Ave SE Apt E219
Everett, WA 98208-4072

Phone

(206) 650-0517

Fax

(800) 475-9684

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Nawapa Regina Bukenya

Title

Owner

Phone

(206) 650-0517

Specialties & licenses 1

Addresses

Other names 1

• Decorum private healthcare LLC Doing business as

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1548045552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 7TH AVE SE APT E219",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084072",
            "telephone_number": "206-650-0517",
            "fax_number": "800-475-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 7TH AVE SE APT E219",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084072",
            "telephone_number": "206-650-0517",
            "fax_number": "800-475-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECORUM PRIVATE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "BUKENYA",
        "authorized_official_first_name": "NAWAPA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-650-0517"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decorum private healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Deboer, DNP, APRN, WHNP-BC
• Deborah D. Stiles, Arnp, Inc. P.S.
• Leo David Debroeck, LMHC
• Mark Patrick Decaminada
• Samantha Lynne Dechristopher
• Dee Anne Decosterd
• Robert Joseph Dedich
• Adama Deen
• Susan Jean Defelice
• Robert D. Defrang, MD

• Home Health Aide in Everett, WA
• Providers in Everett, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.