Provider Demographics
NPI:1306711882
Name:AWARENESS ADULT FAMILY HOME CARE LLC
Entity type:Organization
Organization Name:AWARENESS ADULT FAMILY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, RESIDENT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:RATTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-266-0355
Mailing Address - Street 1:726 BROOKDALE RD E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-1492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17339 129TH AVE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9380
Practice Address - Country:US
Practice Address - Phone:253-266-0355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty