Enrich Adult Family Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ENRICH ADULT FAMILY HOME LLC

Practice address

14821 18TH Ave E
Tacoma, WA 98445-3477

Phone

(612) 406-0088

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Benard Chessum, RN, BSNNPI 1265179519

Title

Provider

Phone

(612) 406-0088

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Benard Kosgei Chessum

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
  • NPI 1265179519
  NPD Authorized official

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1740971670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14821 18TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984453477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 18TH AVE E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984453477",
            "telephone_number": "612-406-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICH ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CHESSUM",
        "authorized_official_first_name": "BENARD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "612-406-0088",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasie Ennis
• Pamela Ennis
• Nicole Daniel Eno, MD
• Kayce Lynn Enos
• Robert William Enquist, MD
• Enrich Community Psychiatry PLLC
• Alberto Enrico, DDS
• April Carmella Enright
• Ayron Enriquez
• Raina M Ensign

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.