NPIMap

Organization Active NPI

Muckleshoot Indian Tribe

  • Home Health Agency
  • Auburn, WA
National Provider Identifier
1902323819
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUCKLESHOOT INDIAN TRIBE
Practice address
17500 SE 392ND St
Auburn, WA 98092-9705
Phone
(253) 876-3050
Fax
(253) 876-2974
NPI assigned
Aug 23, 2017
Organization subpart
Yes
Parent organization
MUCKLESHOOT INDIAN TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Harmony Roebuck
Title
Administrative Manager
Phone
(253) 876-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17500 SE 392ND St
Auburn, WA 98092-9705

Mailing address

17500 SE 392ND St
Auburn, WA 98092-9705
Phone (253) 876-3050

Other names 2

  • Muckleshoot Elder In Home Services Doing business as
  • Muckleshoot In Home Support Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Muckleshoot Indian Heal3 organizations share this tax ID, including this one
Part of
Muckleshoot Indian Heal

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902323819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929705",
            "telephone_number": "253-876-3050",
            "fax_number": "253-876-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929705",
            "telephone_number": "253-876-3050",
            "fax_number": "253-876-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUCKLESHOOT INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUCKLESHOOT INDIAN TRIBE",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROEBUCK",
        "authorized_official_first_name": "HARMONY",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "253-876-3050"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muckleshoot Elder In Home Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muckleshoot In Home Support",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.