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ASCENSION AFH INC NPI 1508503665


NPI Information

NPI: 1508503665
Provider Name: ASCENSION AFH INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 50D2263894

Address:
4812 80TH AVE W
UNIVERSITY PLACE, WA
ZIP 98467
Phone: (919) 817-9207
Get Directions

ASCENSION AFH INC is an adult care home custodial care facility in University Place, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ASCENSION AFH INC NPI is 1508503665. The provider is registered as an organization entity type.

The provider's business location address is:

4812 80TH AVE W
UNIVERSITY PLACE, WA
ZIP 98467-918
Phone: (919) 817-9207

The provider's authorized official is Anthony Mwaura .
The authorized official title is Manager and has the following contact phone number (919) 817-9207.

The CLIA number assigned to this NPI record is 50D2263894 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2022 and was last updated on 5/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12205376MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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