Active NPI
Korean Women's Association
- In Home Supportive Care Agency
- Tacoma, WA
National Provider Identifier
1649658832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHS.FS.00000362
- Legal business name
- KOREAN WOMEN'S ASSOCIATION
- Practice address
- 123 E 96TH St
Tacoma, WA 98445-2001 - Phone
- (253) 535-4202
- Fax
- (253) 535-4827
- NPI assigned
- May 8, 2015
- Last updated
- Jun 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Ansara
- Title
- Ceo
- Phone
- (253) 538-8340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IHS.FS.00000362 | WA | Primary |
Addresses
Primary practice location
123 E 96TH St
Tacoma, WA 98445-2001
Mailing address
123 E 96TH St
Tacoma, WA 98445-2001
Phone (253) 535-4202
Other practice location 1
3625 Perkins Ln SW
Lakewood, WA 98499-4794
Phone (253) 535-4202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1113863 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Korean Women's Association
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Tacoma, WA
- NPI 1588207039
Locations
3625 Perkins Ln SW
Lakewood, WA 98499
Phone (253) 535-4202
123 E 96th St
Tacoma, WA 98445
Phone (253) 535-4202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1649658832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E 96TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452001",
"telephone_number": "253-535-4202",
"fax_number": "253-535-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E 96TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452001",
"telephone_number": "253-535-4202",
"fax_number": "253-535-4827"
}
],
"practiceLocations": [
{
"address_1": "3625 Perkins Ln SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984994794",
"country_code": "US",
"telephone_number": "253-535-4202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KOREAN WOMEN'S ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "ANSARA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "253-538-8340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WA",
"license": "IHS.FS.00000362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1113863",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.