Caring Grove Adult Family Home

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CARING GROVE ADULT FAMILY HOME

Practice address

8816 60TH Dr NE
Marysville, WA 98270-2812

Phone

(452) 565-1906

Fax

(360) 386-8636

NPI assigned

Jul 17, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Kassim Ibrahim Sheimo, RNNPI 1174413793

Title

Owner

Phone

(425) 565-1906

Specialties & licenses 1

Addresses

Tax ID family

Caring Grove Adult Family Home2 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.

• Caring Grove Adult Family Home

  • Case Management Registered Nurse
  • Marysville, WA
  • NPI 1366391906
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kassim Ibrahim Sheimo

  • Registered Nurse
  • Marysville, WA
  • NPI 1174413793
  NPD (past) Authorized official

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1124948351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 60TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702812",
            "telephone_number": "452-565-1906",
            "fax_number": "360-386-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 60TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702812",
            "telephone_number": "452-565-1906",
            "fax_number": "360-386-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING GROVE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "SHEIMO",
        "authorized_official_first_name": "KASSIM",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-565-1906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Campo, CHP, LMP, EFR
• Candleberry Adult Family Home LLC
• Laurie Caniglia, LMHCA
• Shea Eugene Caperoon
• Aunika Ann Beatrice Capps, DPT
• Caring Grove Adult Family Home
• Leora Carlson, RN
• Lluvia Annette Carreon
• Martha Carriere, BA, RC
• Briana Jeanne Carroll, LMP

• Registered Nurse in Marysville, WA
• Providers in Marysville, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.