Blueridge Afh LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

A750023 Issued in WA

Legal business name

BLUERIDGE AFH LLC

Practice address

2106 NW 97TH St
Seattle, WA 98117-2451

Phone

(206) 755-0861

NPI assigned

May 26, 2017

Last updated

Jul 21, 2022By 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

Mr. Amante Fernando Tadique

Title

Ceo

Phone

(206) 755-0861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184152779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 NW 97TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172451",
            "telephone_number": "206-755-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NW 97TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172451",
            "telephone_number": "206-755-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUERIDGE AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TADIQUE",
        "authorized_official_first_name": "AMANTE",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-755-0861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "WA",
            "license": "A750023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Blue, LICSW FIPA
• Deborah Blue, CNM
• Ophelia I Blue, R.N., N.P., C.N.S.
• Blueprints
• Blueprints
• Hira Bluestone, PA-C
• John J Bluff, O.D.
• Beth Blum, PSYD
• Elyse S. Blum, M.D.
• Isabella Rosario Blum

• Nursing Home Administrator in Seattle, WA
• Providers in Seattle, WA by specialty
• Nursing Home Administrator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.