Simon N Mwangi
Individual provider Active NPI Home Health Aide · Milton, WA
NPI 1831963248 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1831963248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- 60783322 (WA)
- Practice address
- 2311 Fir CT
Milton, WA 98354-9389 - Phone
- (206) 330-7559
- Fax
- (253) 517-9882
- NPI assigned
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60783322 | WA | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 60783322 | WA | Yes |
Addresses
Primary practice location
2311 Fir CT
Milton, WA 98354-9389
Mailing address
2311 Fir CT
Milton, WA 98354-9389
Phone (206) 330-7559
Other providers in Milton, WA
- Terry Morehead
- Michael J Morgan
- Donna Morton
- Kelly Jean Murray
- Annah Muya
- Vivian Mwangi
- Serah Nyakio Mwenyura
- Sage Embrace Myers
- Winifred Nandawula
- Alana Nelson
All providers in Milton, WA · Home Health Aide in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.