Verdant Grove Adult Family Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

751083 Issued in WA

Legal business name

VERDANT GROVE ADULT FAMILY HOME, LLC

Practice address

9644 54TH Ave S
Seattle, WA 98118-5705

Phone

(206) 722-2766

NPI assigned

Nov 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lilia Peros Saducos

Title

Provider

Phone

(206) 694-3513

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1083128375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 54TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981185705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9644 54TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981185705",
            "telephone_number": "206-722-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDANT GROVE ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "SADUCOS",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "PEROS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-694-3513"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "751083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jones Verbovski, MS, RDN, CSO, CD
• Devorah Rose Verburg-Sachs, MA, LMHC
• Lauren Vercammen, PT
• Michele M Vercella, RPH
• Anna Vercruyssen, MS, CGC
• Migdalia Verdejo
• Juli Ann Verdieck
• Hiltrud Verdier, DIPL.-PSYCH., LMHC
• Njeri Alaka Verdier
• Peter J Verdin, MD

• Adult Care Home Facility in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.