Jamila Kadir

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

756042 Issued in WA

Practice address

1211 S Trafton St
Tacoma, WA 98405-2965

Phone

(253) 267-1044

Fax

(253) 267-1056

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care of Life Homecare Services LLC

  • Adult Care Home Facility
  • Tacoma, WA
  • NPI 1689371163

  Adult Care Home

  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1972209187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S TRAFTON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052965",
            "telephone_number": "253-267-1044",
            "fax_number": "253-267-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S TRAFTON ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052965",
            "telephone_number": "253-267-1044",
            "fax_number": "253-267-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIR",
        "first_name": "JAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "756042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222870901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Kariuki Kabiru, COTA
• Deborah Marie Kabisch, ARNP
• Francis Njenga Kabuu, CNA
• Jean Sylvain Miseso Kabuya, RN
• Aparna Kadambi, M.D
• Carey Yuri Kadohiro
• Faith Kadoshima
• Mark F Kadoshima, DDS
• Jacquelin Kae, MD
• Susan Miye Kaeka, P.T.

• All providers in Tacoma, WA
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.