Community Home Care, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

IS145 Issued in WA

Legal business name

COMMUNITY HOME CARE, LLC

Practice address

7136 Martin Luther King Jr Way S Ste 201
Seattle, WA 98118-3526

Phone

(206) 384-4539

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abdurahman Warsama Jama, ADMINISTRATOR

Title

Owner

Phone

(206) 384-4539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801912373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 MARTIN LUTHER KING JR WAY S STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183526",
            "telephone_number": "206-384-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 MARTIN LUTHER KING JR WAY S STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183526",
            "telephone_number": "206-384-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDURAHMAN",
        "authorized_official_middle_name": "WARSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-384-4539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "IS145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Seattle, WA
• Providers in Seattle, WA by specialty
• Exclusive Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.