Individual provider Active NPI

Bethelehem Asrat, CNA

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1164335410
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
753958 Issued in WA
Practice address
904 NW 148TH St
Vancouver, WA 98685-1039
Phone
(360) 952-1068
Fax
(360) 571-2349
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 753958 WA Primary

Addresses

Primary practice location

904 NW 148TH St
Vancouver, WA 98685-1039

Mailing address

904 NW 148TH St
Vancouver, WA 98685-1039
Phone (360) 952-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1164335410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NW 148TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851039",
            "telephone_number": "360-952-1068",
            "fax_number": "360-571-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 NW 148TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851039",
            "telephone_number": "360-952-1068",
            "fax_number": "360-571-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASRAT",
        "first_name": "BETHELEHEM",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "753958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.