MEDICARE: SERENGETI CARE PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	S.FS.60660148	WA
2	253Z00000X	In Home Supportive Care Agency	IHS.FS.60660148	WA
3	251J00000X	Nursing Care Agency
4	251E00000X	Home Health Agency	IHS.FS.60660148	WA

General Provider Information

NPI Number	:	1487106456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERENGETI CARE PARTNERS LLC

Provider Business Mailing Address
First Line	:	607 SW GRADY WAY STE 6008
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2977
Country	:	US
Telephone Number	:	206-552-5472
Fax Number	:	425-207-7401

Provider Business Practice Location Address
First Line	:	607 SW GRADY WAY STE 6008
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2977
Country	:	US
Telephone Number	:	425-272-9272
Fax Number	:	425-207-7401

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ALBERT MUNANGA
Credential	:	DBH
Telephone Number	:	206-552-5472

Provider Enumeration Date	:	10/26/2016
Last Update Date	:	12/15/2025

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