Organization Active NPI

Heart of Angels Adult Family Home

  • Adult Care Home Facility
  • Auburn, WA
National Provider Identifier
1083540991
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEART OF ANGELS ADULT FAMILY HOME
Practice address
11853 SE 323Rd PL
Auburn, WA 98092-4808
Phone
(206) 581-6788
Fax
(253) 409-2425
NPI assigned
Jun 18, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Miss Lidiya Alemu Tiku, CNA
Title
Provider
Phone
(206) 356-8534

Specialties & licenses 1

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

Addresses

Primary practice location

11853 SE 323Rd PL
Auburn, WA 98092-4808

Mailing address

11853 SE 323Rd PL
Auburn, WA 98092-4808
Phone (206) 581-6788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1083540991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11853 SE 323RD PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980924808",
            "telephone_number": "206-581-6788",
            "fax_number": "253-409-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11853 SE 323RD PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980924808",
            "telephone_number": "206-581-6788",
            "fax_number": "253-409-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF ANGELS ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "TIKU",
        "authorized_official_first_name": "LIDIYA",
        "authorized_official_middle_name": "ALEMU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-356-8534",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA"
    },
    "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 Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.