Organization Active NPI

Wudiye LLC

  • Adult Care Home Facility
  • Everett, WA
National Provider Identifier
1083535660
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
WUDIYE LLC
Practice address
5502 Ocean Ave
Everett, WA 98203-1309
Phone
(206) 850-9539
Fax
(425) 595-6737
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Tedla Mengesha Woldemariam
Title
Provider
Phone
(206) 850-9539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5502 Ocean Ave
Everett, WA 98203-1309

Mailing address

5502 Ocean Ave
Everett, WA 98203-1309
Phone (206) 850-9539

National Provider Directory

National Provider Directory
Tax ID family
Wudiye LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1083535660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5502 OCEAN AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031309",
            "telephone_number": "206-850-9539",
            "fax_number": "425-595-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 OCEAN AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031309",
            "telephone_number": "206-850-9539",
            "fax_number": "425-595-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUDIYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "WOLDEMARIAM",
        "authorized_official_first_name": "TEDLA",
        "authorized_official_middle_name": "MENGESHA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-850-9539"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.