Provider Type Icon

ST NINO ADULT FAMILY HOME NPI 1710153937


NPI Information

NPI: 1710153937
Provider Name: ST NINO ADULT FAMILY HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 50D2263778

Address:
19620 8TH AVE E
SPANAWAY, WA
ZIP 98387
Phone: (253) 875-9077
Get Directions

ST NINO ADULT FAMILY HOME is an adult care home custodial care facility in Spanaway, 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. ST NINO ADULT FAMILY HOME NPI is 1710153937. The provider is registered as an organization entity type.

The provider's business location address is:

19620 8TH AVE E
SPANAWAY, WA
ZIP 98387
Phone: (253) 875-9077
Fax: (253) 875-9077

The provider's authorized official is Reza S Vargas .
The authorized official title is Provider/owner and has the following contact phone number (253) 875-9077.

The CLIA number assigned to this NPI record is 50D2263778 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home635100WASHINGTONYes

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: 5/5/2024

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.