Organization Active NPI

Oasis of Tender Care LLC

Doing business as Oasis of Tender Care AFH

  • Adult Care Home Facility
  • Spanaway, WA
National Provider Identifier
1639804057
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
OASIS OF TENDER CARE LLC
Doing business as
Oasis of Tender Care AFH
Practice address
2004 172ND St E
Spanaway, WA 98387-7629
Phone
(301) 693-9540
Fax
(253) 503-7222
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Gabriel Ndungu, RNNPI 1982212353
Title
Coowner
Phone
(301) 693-9540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2004 172ND St E
Spanaway, WA 98387-7629

Mailing address

2004 172ND St E
Spanaway, WA 98387-7629
Phone (301) 693-9540

Other names 1

  • Oasis of Tender Care AFH Doing business as

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
50D2262201Oasis of Tender Care Afh2004 172ND St E, Spanaway, WA 98387Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1639804057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 172ND ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877629",
            "telephone_number": "301-693-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 172ND ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877629",
            "telephone_number": "301-693-9540",
            "fax_number": "253-503-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS OF TENDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "301-693-9540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis of Tender Care AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.