Amani Palace Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

AMANI PALACE AFH LLC

Practice address

5111 Harbor View Dr
Tacoma, WA 98422-1851

Phone

(206) 552-6423

Fax

(253) 322-1589

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Elizabeth Mwaura, RNNPI 1760111538

Title

Owner

Phone

(206) 552-6423

Specialties & licenses 1

Addresses

Other names 1

• AMANI HOUSE II AFH Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Amani House II Afh2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amani Palace Afh LLC

  • Adult Care Home Facility
  • Kent, WA
  • NPI 1861127052
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Mwaura

  • Registered Nurse
  • Kent, WA
  • NPI 1760111538
  NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689309874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 HARBOR VIEW DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221851",
            "telephone_number": "206-552-6423",
            "fax_number": "253-322-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 HARBOR VIEW DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221851",
            "telephone_number": "206-552-6423",
            "fax_number": "253-322-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI PALACE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MWAURA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-552-6423",
        "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": "AMANI HOUSE II AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwen Barrios Alvord
• Rex Martin Alvord Jr., MD
• Always in Bloom LLC
• Alyce O'Brien & Jack Batjer, D.D.S. PLLC
• Carla Nicole Amadei Gatti, MD
• Amara Medical Group PLLC
• Shedae Chantielle Amaro Kraus, RN
• Teona Callaham Amble, PH.D.
• Kori Ambrose
• AMC Madigan-Ft Lewis

• Adult Care Home Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.