Healthcare Provider Details

I. General information

NPI: 1487106456
Provider Name (Legal Business Name): SERENGETI CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 SW GRADY WAY STE 6008
RENTON WA
98057-2977
US

IV. Provider business mailing address

607 SW GRADY WAY STE 6008
RENTON WA
98057-2977
US

V. Phone/Fax

Practice location:
  • Phone: 425-272-9272
  • Fax: 425-207-7401
Mailing address:
  • Phone: 206-552-5472
  • Fax: 425-207-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberS.FS.60660148
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberIHS.FS.60660148
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIHS.FS.60660148
License Number StateWA

VIII. Authorized Official

Name: DR. ALBERT MUNANGA
Title or Position: MEDICAL DIRECTOR
Credential: DBH
Phone: 206-552-5472