Individual provider Active NPI

Margaret Kokumo Igbekoyi

  • Adult Care Home Facility
  • Federal Way, WA
National Provider Identifier
1821269655
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
750596 Issued in WA
Practice address
805 S 309TH PL
Federal Way, WA 98003-4736
Phone
(253) 941-3293
Fax
(253) 941-3293
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 750596 WA Primary

Addresses

Primary practice location

805 S 309TH PL
Federal Way, WA 98003-4736

Mailing address

805 S 309TH PL
Federal Way, WA 98003-4736
Phone (253) 941-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
750596WAMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1821269655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S 309TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034736",
            "telephone_number": "253-941-3293",
            "fax_number": "253-941-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S 309TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034736",
            "telephone_number": "253-941-3293",
            "fax_number": "253-941-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBEKOYI",
        "first_name": "MARGARET",
        "middle_name": "KOKUMO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.