The Village- a Mustard Seed Project

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE VILLAGE- A MUSTARD SEED PROJECT

Practice address

9115 154TH Avenue CT NW
Lakebay, WA 98349-9850

Phone

(253) 900-9936

NPI assigned

Aug 7, 2023

Organization subpart

Yes

Parent organization

THE MUSTARD SEED PROJECTAs reported in NPPES

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

Authorized official

Name

Eric R Melendez Blegen

Title

Executive Director

Phone

(253) 884-1205

Specialties & licenses 1

Addresses

Other names 1

• The Mustard Seed Project Other name

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

CLIA laboratory certificates

Part of

The Village- a Mustard Seed Project

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1790467850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "VAUGHN",
            "state": "WA",
            "postal_code": "983940182",
            "telephone_number": "253-884-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 154TH AVENUE CT NW",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983499850",
            "telephone_number": "253-900-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE- A MUSTARD SEED PROJECT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MUSTARD SEED PROJECT",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ BLEGEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-884-1205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mustard Seed Project",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annika Grace Rundberg Bunney
• Karen S Schneider, ARNP
• Dean Lyle Shriner, ARNP
• Sound Mind Therapy PLLC
• Tiffani Sullivan, MS, LPC
• Donald R. Tjossem, MS, MAC, SAP, CDP
• Xpio Group Health, LLC

• Assisted Living Facility in Lakebay, WA
• Providers in Lakebay, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.