Healthcare Provider Details

I. General information

NPI: 1861322653
Provider Name (Legal Business Name): MEMORABLE CARE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20106 86TH AVENUE CT E
SPANAWAY WA
98387-5087
US

IV. Provider business mailing address

20106 86TH AVENUE CT E
SPANAWAY WA
98387-5087
US

V. Phone/Fax

Practice location:
  • Phone: 253-271-0595
  • Fax: 253-264-4730
Mailing address:
  • Phone: 253-271-0595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH WACHIRA
Title or Position: PROVIDER
Credential: CNA
Phone: 253-905-4080