Certified Care Adult Family Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

CERTIFIED CARE ADULT FAMILY HOME LLC

Practice address

4111 W Rowan Ave
Spokane, WA 99205-7665

Phone

(863) 512-1570

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Udoma

Title

Provider

Phone

(863) 512-1570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1154207983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W ROWAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057665",
            "telephone_number": "863-512-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W ROWAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992057665",
            "telephone_number": "863-512-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED CARE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "UDOMA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "863-512-1570"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Central Chiropractic PC
• Central Spokane Dental, LLC
• Cerebral Health (Cerebral Health and Wellness)
• Courtney Cerenzia, MS, CCC-SLP
• Angel Cervantes, CNA
• Areyana Cervantes
• Heidi Cesaratto, MS CCC SLP
• Jessica Kaye Cewe, D.O.
• Tobiah Joel Cewe, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.