=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669347191
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NALKA ADULT HOMECARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2025
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 401 132ND ST S
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98444-4813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-328-6976
-----------------------------------------------------
Fax | 253-447-1245
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 132ND ST S
-----------------------------------------------------
City | TACOMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98444-4813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-328-6976
-----------------------------------------------------
Fax | 253-447-1245
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | NAWAL OSMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 253-457-9671
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------