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General NPI Number Information
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NPI Number | 1912852161
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Entity Type | Organization
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Legal Business Name | SMILING HEART ADULT FAMILY HOME LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 62 W SHORE AVE SW
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City | LAKEWOOD
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State | WA
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Zip | 98498-5840
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Country | US
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Telephone | 253-212-2079
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Fax | 253-503-1960
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Provider Business Mailing Address
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Address Line | 62 W SHORE AVE SW
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City | LAKEWOOD
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State | WA
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Zip | 98498-5840
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Country | US
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Telephone | 253-212-2079
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Fax | 253-503-2079
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | THUWEBA NDUNGE KIMOTHO
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Credential | HOME CARE AIDE (HCA)
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Telephone | 253-632-9374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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