Active NPI
Rona Herradura Dujon
- Adult Care Home Facility
- Tacoma, WA
National Provider Identifier
1891969986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 147301
- Legal business name
- RONA HERRADURA DUJON
- Doing business as
- Joyful Living Adult Family Home
- Practice address
- 3105 192ND St E
Tacoma, WA 98446-1003 - Phone
- (253) 875-6644
- NPI assigned
- Apr 18, 2008
- 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
- Mrs. Rona Herradura Dujon
- Title
- Provider
- Phone
- (253) 875-6644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 147301 | WA | Primary |
Addresses
Primary practice location
3105 192ND St E
Tacoma, WA 98446-1003
Mailing address
3105 192ND St E
Tacoma, WA 98446-1003
Phone (253) 875-6644
Other names 1
- Joyful Living Adult Family Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1891969986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 192ND ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984461003",
"telephone_number": "253-875-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 192ND ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984461003",
"telephone_number": "253-875-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONA HERRADURA DUJON",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "DUJON",
"authorized_official_first_name": "RONA",
"authorized_official_middle_name": "HERRADURA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "253-875-6644",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WA",
"license": "147301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Joyful Living Adult Family Home",
"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 Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.