Organization Active NPI

Tacoma Recovery Cafe

  • Case Management Agency
  • Tacoma, WA
National Provider Identifier
1871146506
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TACOMA RECOVERY CAFE
Practice address
813 MLK Jr. Way
Tacoma, WA 98405-4147
Phone
(253) 533-9361
Fax
(253) 597-4177
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Ms. Gwendolyn Anne ArtmanNPI 1275190142
Title
Executive Director
Phone
(253) 533-9361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

813 MLK Jr. Way
Tacoma, WA 98405-4147

Mailing address

813 MLK Jr. Way
Tacoma, WA 98405-4147
Phone (253) 533-9361

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1871146506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 MLK JR. WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054147",
            "telephone_number": "253-533-9361",
            "fax_number": "253-597-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MLK JR. WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054147",
            "telephone_number": "253-533-9361",
            "fax_number": "253-597-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA RECOVERY CAFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "ARTMAN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-533-9361",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2019; 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.