Organization Active NPI

Fahari Adult Family Home LLC

  • Registered Nurse
  • Pullman, WA
National Provider Identifier
1649141441
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
FAHARI ADULT FAMILY HOME LLC
Practice address
935 SE Kamiaken St
Pullman, WA 99163-2233
Phone
(509) 338-3006
Fax
(509) 288-4932
NPI assigned
Sep 15, 2025
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Ms. Irene Kamoye, RNNPI 1740161462
Title
Owner
Phone
(509) 339-9070

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
Registered Nurse 163W00000X Primary

Addresses

Primary practice location

935 SE Kamiaken St
Pullman, WA 99163-2233

Mailing address

403 N Hauser Ave
Colfax, WA 99111-9444
Phone (509) 288-0547

Other practice location 1

403 N Hauser Ave
Colfax, WA 99111-9444
Phone (509) 288-0547

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
50D2330950Fahari Adult Family Home LLC403 N Hauser, Colfax, WA 99111Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1649141441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N HAUSER AVE",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119444",
            "telephone_number": "509-288-0547",
            "fax_number": "509-288-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 SE KAMIAKEN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632233",
            "telephone_number": "509-338-3006",
            "fax_number": "509-288-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 N Hauser Ave",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WA",
            "postal_code": "991119444",
            "country_code": "US",
            "telephone_number": "509-288-0547",
            "fax_number": "509-288-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAHARI ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "KAMOYE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-339-9070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.