A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION — NPI 1023787397 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in TACOMA, WA)

CMS-1500 Box 24J / 33a • NPI

1023787397

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0400X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

252 BROADWAY APT 620, TACOMA, WA, 98402-4003

✓ 9-Digit EDI 837 ZIP+4 (98402-4003)

Practice Phone & Referral Fax

(253) 398-0203

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023787397 (A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023787397` (NPI-2 Organization / Facility)
Provider / Legal Name	A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0400X` (Clinic/Center, Rehabilitation)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	252 BROADWAY APT 620, TACOMA, WA, 98402-4003
Practice Telephone / Fax	Tel: (253) 398-0203
Administrative Mailing Address	5940 S RAINBOW BLVD, LAS VEGAS, NV, 89118-2506
Enumeration & Last Sync	Enumerated: 2021-09-09 \| CMS Record Updated: 2023-12-14
Authorized Official	CHARLITA HARRIS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

252 BROADWAY APT 620, TACOMA, WA, 98402-4003

🗺️ Open in Google Maps 🏥 More Providers in TACOMA

🔒 Are you A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QR0400X)

What Does Taxonomy Code 261QR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0400X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Rehabilitation Agency) • CMS Code B4[14] (Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QI0500X` — Clinic/Center, Infusion Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0405X` — Clinic/Center, Rehabilitation, Substance Use Disorder Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0800X` — Clinic/Center, Recovery Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QR0400X` — Clinic/Center, Rehabilitation Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

A LEAGUE OF ACTION COMMUNITY DEVELOPMENT CORPORATION (NPI #1023787397)