Active NPI
Harriet Tubman Foundation for Safe Passage
- Public Health or Welfare Agency
- Tacoma, WA
National Provider Identifier
1831941152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.