PERIS MUNGAI (NPI# 1134592108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134592108 |
| Entity Type | Individual |
| Full Name | PERIS MUNGAI |
| Practice Address |
11922 Nyanza Rd Sw Lakewood WA 98499-1438 |
| Practice Telephone | 2535030459 |
| Practice Fax Number | 2533011576 |
| Mailing Telephone | 2535030459 |
| Mailing Fax Number | 2533011576 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 752924 | WA | Nursing & Custodial Care Facilities |
| Street Address |
11922 NYANZA RD SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1972076958 | Deshano Care Centers LLC | Assisted Living Facility | 9232 W Texas Dr, Lakewood, CO 80232-5100 | 2019-01-02 |
| 1740762061 | Deshano Care Centers LLC | Assisted Living Facility | 1975 Owens Ct, Lakewood, CO 80215-2732 | 2018-09-04 |
| 1932681335 | Deshano Care Centers LLC | Assisted Living Facility | 3225 S Reed Ct, Lakewood, CO 80227-5216 | 2018-08-31 |
| 1619425881 | The Rising Sun Senior Home Inc. | Assisted Living Facility | 421 S Fenton St, Lakewood, CO 80226-3556 | 2016-09-16 |
| 1457736399 | Senior Housing Investors II, LLC | Assisted Living Facility | 10420 Gravelly Lake Dr Sw, Lakewood, WA 98499-5041 | 2015-07-21 |
| 1447634266 | Fs Leisure Park Tenant Trust | Assisted Living Facility | 1400 Route 70, Lakewood, NJ 08701-5949 | 2015-07-10 |
| 1134514961 | Lakewood Health Care Center, Inc. | Assisted Living Facility | 13323 Detroit Ave, Lakewood, OH 44107-2849 | 2015-03-30 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.