Favorite Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

FAVORITE ADULT FAMILY HOME

Doing business as

Favorite Adult Family Home

Practice address

18306 104TH Street CT E
Bonney Lake, WA 98391-6040

Phone

(206) 657-6121

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Catherine W MuneneNPI 1750755310

Title

Provider

Phone

(206) 251-3676

Specialties & licenses 1

Addresses

Other names 1

• Favorite Adult Family Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Munene, ARNP, DNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1750755310
  NPD Authorized official

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1861213993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18206 108TH STREET CT E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18306 104TH STREET CT E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916040",
            "telephone_number": "206-657-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORITE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MUNENE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-251-3676"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Favorite Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Donald Endter, DDS
• Jonathan E Erickson, PT
• Peter L Erickson, PT
• Nicole Marie Evans, LMP
• Eye 2 Eye Care PS
• Charmaine Felix, DDS
• Elena Fernandez
• Jedidiah Joel Findley, RN
• Charles Randolph Fisk, LMP
• Timothy Fletcher-Velasco, FNP

• Adult Care Home Facility in Bonney Lake, WA
• Providers in Bonney Lake, 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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.