Avian Adult Family Home B LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

AVIAN ADULT FAMILY HOME B LLC

Practice address

1115 144TH St E
Tacoma, WA 98445-2583

Phone

(253) 341-8755

Fax

(253) 409-2590

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Rose Ndiritu

Title

Provider

Phone

(253) 341-8755

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avian Adult Family Home E Doing business as

Electronic endpoints 1

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

CLIA laboratory certificates

Tax ID family

Avian Adult Family Home B3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Avian Adult Family Home B

  • Registered Nurse
  • Tacoma, WA
  • NPI 1225647688
  NPD tax ID
• Avian Adult Family Home B

  • Registered Nurse
  • Lakewood, WA
  • NPI 1649888033
  NPD tax ID

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1881342376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 91ST AVENUE CT SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984987100",
            "telephone_number": "253-341-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 144TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984452583",
            "telephone_number": "253-341-8755",
            "fax_number": "253-409-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIAN ADULT FAMILY HOME B LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "NDIRITU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-341-8755"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068817",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "address_1": "1115 144th St E",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984452583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avian Adult Family Home E",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avalon Healthcare - Tacoma, LLC
• Alvin K Ave
• Brenda Avelar
• Brandy Avery
• Avian Adult Family Home B
• Katie Avichouser
• Angela Marcela Avila - Castro, CDPT
• Brennah Elaine Avila
• Dustin Martin Avila, SUDP-T
• Richelle Marie Avila, RDA

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.