Active NPI
Neyat Adult Family Home LLC
- Home Health Registered Nurse
- Spokane Valley, WA
National Provider Identifier
1144814401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- NEYAT ADULT FAMILY HOME LLC
- Practice address
- 12402 E 19TH Ave
Spokane Valley, WA 99216-0323 - Phone
- (509) 822-7593
- Fax
- (509) 822-7895
- NPI assigned
- Feb 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Faye G Mezengie
- Title
- Owner
- Phone
- (206) 596-6742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
12402 E 19TH Ave
Spokane Valley, WA 99216-0323
Mailing address
12402 E 19TH Ave
Spokane Valley, WA 99216-0323
Phone (509) 904-9609
Other names 1
- NEYAT ADULT FAMILY HOME LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2326822 | Neyat Adult Family Home | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Spokane Valley, WA
- NPI 1154982569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1144814401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12402 E 19TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160323",
"telephone_number": "509-904-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12402 E 19TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160323",
"telephone_number": "509-822-7593",
"fax_number": "509-822-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEYAT ADULT FAMILY HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A",
"authorized_official_last_name": "MEZENGIE",
"authorized_official_first_name": "FAYE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-596-6742",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEYAT ADULT FAMILY HOME LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.