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NC ADULT FAMILY HOME INC. NPI 1841464724


NPI Information

NPI: 1841464724
Provider Name: NC ADULT FAMILY HOME, INC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 50D2299111

Address:
13726 SE 23RD LN
BELLEVUE, WA
ZIP 98005
Phone: (425) 643-2796
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NC ADULT FAMILY HOME, INC. is an adult care home custodial care facility in Bellevue, 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. NC ADULT FAMILY HOME, INC. NPI is 1841464724. The provider is registered as an organization entity type.

The provider's business location address is:

13726 SE 23RD LN
BELLEVUE, WA
ZIP 98005-026
Phone: (425) 643-2796
Fax: (425) 644-2462

The provider's authorized official is Natividad Alviz Corpuz .
The authorized official title is Vice-president/secretary and has the following contact phone number (206) 372-2563.

The CLIA number assigned to this NPI record is 50D2299111 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.


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 Home750310WASHINGTONYes

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

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