Forever Changed Foundation

LBN: Forever Changed Foundation
Forever Changed Foundation is an health care organization with primary practice located at 7804 Yakima Ave , Tacoma WA 98408-5317. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Forever Changed Foundation can be contacted via phone (253) 765-1713, or through Vaughn, Tina via phone (253) 282-0262.

Contact Information

Primary practice address
7804 Yakima Ave Tacoma WA 98408-5317
Phone: (253) 765-1713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Tina RC
Phone: (253) 282-0262

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1760147375
LBN Legal business name Forever Changed Foundation
DBA Doing business as
Authorized official Vaughn, Tina RC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2021
Last updated Nov 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760147375 NPPES
Washington MEDICAID 1073284204

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