Baraka-Bless Adult Family Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

BARAKA-BLESS ADULT FAMILY HOME LLC

Practice address

7328 202ND St SW
Lynnwood, WA 98036-5820

Phone

(425) 640-3758

Fax

(425) 678-8391

NPI assigned

Apr 26, 2022

Organization subpart

No

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

Authorized official

Name

Miss Iman Warsame Bot, REGISTERED NURSENPI 1346984465

Title

Owner

Phone

(425) 640-3758

Specialties & licenses 1

Addresses

Other names 1

• Baraka-Bless Adulty family home Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Iman Warsame Bot, PROVIDER RN

  • Registered Nurse
  • Lynnwood, WA
  • NPI 1346984465
  NPD Authorized official

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1144964933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 S HOLLY ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981083785",
            "telephone_number": "206-458-4767",
            "fax_number": "425-678-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 202ND ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365820",
            "telephone_number": "425-640-3758",
            "fax_number": "425-678-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA-BLESS ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "BOT",
        "authorized_official_first_name": "IMAN",
        "authorized_official_middle_name": "WARSAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-640-3758",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baraka-Bless Adulty family home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Molly Elizabeth Ballard-Delgado
• Candice Balluru, PH.D.
• Phatym Bamba Epse Kone, PC
• Dae Hee Bang, M.D.
• Elise Bao
• Ladella Bareither, PTA
• Jaclyn Bariletto
• Tarana Barkhu
• Nina Rae Barkmann, BSW
• David Barsion, MA LMHC CMHS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.

Verify at the official NPI Registry.