AVENUE HOME LLC NPI 1225894165

NPI Information

NPI: 1225894165
Provider Name: AVENUE HOME LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
719 23RD AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (703) 861-7446
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AVENUE HOME LLC is an adult care home custodial care facility in Puyallup, 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. AVENUE HOME LLC NPI is 1225894165. The provider is registered as an organization entity type.

The provider's business location address is:

719 23RD AVE SE
PUYALLUP, WA
ZIP 98372-662
Phone: (703) 861-7446

The provider's authorized official is Esther Ndungu Macharia .
The authorized official title is Resident Care Manager and has the following contact phone number (253) 348-6004.

The enumeration date for this NPI number is 2/27/2024 and was last updated on 2/27/2024.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home			Yes

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

NPI Synchronization or Removal

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