Organization Active NPI

Manito Comfort Adult Family Home LLC

Doing business as Manito Comfort Adult Family Home

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1932785193
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MANITO COMFORT ADULT FAMILY HOME LLC
Doing business as
Manito Comfort Adult Family Home
Practice address
5505 S Perry St
Spokane, WA 99223-6344
Phone
(509) 321-7178
Fax
(509) 321-7178
NPI assigned
Mar 18, 2021
Last updated
Mar 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Starlon Lokidor IkaalNPI 1760068928
Title
Resident Manager
Phone
(509) 593-0493

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5505 S Perry St
Spokane, WA 99223-6344

Mailing address

5505 S Perry St
Spokane, WA 99223-6344
Phone (509) 593-0493

Other names 1

  • Manito Comfort Adult Family Home Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1932785193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236344",
            "telephone_number": "509-593-0493",
            "fax_number": "509-321-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S PERRY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236344",
            "telephone_number": "509-321-7178",
            "fax_number": "509-321-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITO COMFORT ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "IKAAL",
        "authorized_official_first_name": "STARLON",
        "authorized_official_middle_name": "LOKIDOR",
        "authorized_official_title_or_position": "RESIDENT MANAGER",
        "authorized_official_telephone_number": "509-593-0493"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manito Comfort Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.