Angel Stars Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANGEL STARS AFH LLC

Doing business as

Angel Stars

Practice address

484 S 190TH St
Burien, WA 98148-2044

Phone

(206) 954-6431

NPI assigned

Apr 19, 2023

Last updated

Apr 19, 2023By 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

Gladys Kiiru, MBA

Title

Manager

Phone

(206) 954-6431

Specialties & licenses 1

Addresses

Other names 1

• ANGEL STARS Doing business as

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1821785833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 S 190TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981482044",
            "telephone_number": "206-954-6431",
            "fax_number": "800-573-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 S 190TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981482044",
            "telephone_number": "206-954-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STARS AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "KIIRU",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-954-6431",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGEL STARS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Burien, WA
• Providers in Burien, 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 Apr 19, 2023; 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.