Provider Type Icon

KBDJ INC NPI 1073201067


NPI Information

NPI: 1073201067
Provider Name: KBDJ INC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 50D2292847

Address:
8831 CORBIN DR
EVERETT, WA
ZIP 98204
Phone: (425) 418-1732
Get Directions

KBDJ INC is an adult care home custodial care facility in Everett, WA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. KBDJ INC NPI is 1073201067. The provider is registered as an organization entity type.

The provider's business location address is:

8831 CORBIN DR
EVERETT, WA
ZIP 98204-149
Phone: (425) 418-1732
Fax: (425) 582-8161

The provider's authorized official is Busola R Jimoh .
The authorized official title is Owner and has the following contact phone number (425) 418-1732.

The CLIA number assigned to this NPI record is 50D2292847 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 4/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.