Organization Active NPI

Harriet Tubman Foundation for Safe Passage

  • Public Health or Welfare Agency
  • Tacoma, WA
National Provider Identifier
1831941152
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HARRIET TUBMAN FOUNDATION FOR SAFE PASSAGE
Doing business as
Harriet Tubman Foundation for Safe Passage
Practice address
1107 Tacoma Ave S
Tacoma, WA 98402-2005
Phone
(310) 497-4969
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Jesse Miller, DR.
Title
Founder
Phone
(310) 497-4969

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X Primary
Voluntary or Charitable Agency 251V00000X
Early Intervention Provider Agency 252Y00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1107 Tacoma Ave S
Tacoma, WA 98402-2005

Mailing address

2029 S 18TH St
Tacoma, WA 98405-2918
Phone (310) 497-4969

Other names 1

  • HARRIET TUBMAN FOUNDATION FOR SAFE PASSAGE Doing business as

National Provider Directory

National Provider Directory

Locations

1107 Tacoma Ave S
Tacoma, WA 98402
Phone (310) 497-4969

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1831941152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 S 18TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052918",
            "telephone_number": "310-497-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 TACOMA AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022005",
            "telephone_number": "310-497-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIET TUBMAN FOUNDATION FOR SAFE PASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-497-4969",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRIET TUBMAN FOUNDATION FOR SAFE PASSAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.