Healthcare Provider Details

I. General information

NPI: 1336065150
Provider Name (Legal Business Name): THE HOME DOCTOR ACO SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33400 8TH AVE S STE 232
FEDERAL WAY WA
98003-6382
US

IV. Provider business mailing address

33228 43RD PL S
FEDERAL WAY WA
98001-5145
US

V. Phone/Fax

Practice location:
  • Phone: 253-335-5150
  • Fax:
Mailing address:
  • Phone: 253-335-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD NAZIR
Title or Position: OWNER
Credential:
Phone: 253-335-5150