Lorene'S Place II

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LORENE'S PLACE II

Practice address

11150 Gravelly Lake Dr SW
Lakewood, WA 98499-1349

Phone

(253) 531-3462

Fax

(253) 759-3651

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Dominique T Taylor

Title

Treasurer

Phone

(253) 353-6078

Specialties & licenses 1

Addresses

Other names 1

• Lorene's Place II Former legal business name

Locations

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1609640176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 100TH ST SW STE 8A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994477",
            "telephone_number": "253-759-3650",
            "fax_number": "253-759-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991349",
            "telephone_number": "253-531-3462",
            "fax_number": "253-759-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENE'S PLACE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "253-353-6078"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorene's Place II",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.