Provider Type Icon

AVIAN ADULT FAMILY HOME B LLC NPI 1881342376


NPI Information

NPI: 1881342376
Provider Name: AVIAN ADULT FAMILY HOME B LLC
Classification: Registered Nurse - 163W00000X
Entity Type: Organization

CLIA Number: 50D2260054

Address:
1115 144TH ST E
TACOMA, WA
ZIP 98445
Phone: (253) 341-8755
Get Directions

AVIAN ADULT FAMILY HOME B LLC is a registered nurse in Tacoma, WA. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. AVIAN ADULT FAMILY HOME B LLC NPI is 1881342376. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1115 144TH ST E
TACOMA, WA
ZIP 98445-583
Phone: (253) 341-8755
Fax: (253) 409-2590

The provider's authorized official is Rose Ndiritu .
The authorized official title is Provider and has the following contact phone number (253) 341-8755.

The CLIA number assigned to this NPI record is 50D2260054 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.


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
1163W00000XRegistered NurseYes

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
12068817MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.