NPI Code Detail JSON Logo

1487106456 NPI number — SERENGETI CARE PARTNERS LLC

NPI Number: 1487106456
Health Care Provider/Practitioner: SERENGETI CARE PARTNERS LLC

Information about “1487106456” NPI (SERENGETI CARE PARTNERS LLC) exists in 1487106456 in HTML format HTML  |  1487106456 in plain Text format TXT  |  1487106456 in PDF (Portable Document Format) PDF  |  1487106456 in an XML format XML  formats.

NPI Number : 1487106456 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487106456",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SERENGETI CARE PARTNERS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "607 SW GRADY WAY STE 6008",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98057-2977",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-552-5472",
    "MailingAddressFaxNumber": "425-207-7401",
    "FirstLinePracticeLocationAddress": "607 SW GRADY WAY STE 6008",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98057-2977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-272-9272",
    "PracticeLocationAddressFaxNumber": "425-207-7401",
    "EnumerationDate": "10/26/2016",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MUNANGA",
    "AuthorizedOfficialFirstName": "ALBERT",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DBH",
    "AuthorizedOfficialTelephoneNumber": "206-552-5472",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "S.FS.60660148",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": "IHS.FS.60660148",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251J00000X",
          "TaxonomyName": "Nursing Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": "IHS.FS.60660148",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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