Organization Active NPI

Advanced Senior Care LLC

  • Adult Care Home Facility
  • Seattle, WA
National Provider Identifier
1235036526
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ADVANCED SENIOR CARE LLC
Practice address
12558 22ND Ave NE
Seattle, WA 98125-4202
Phone
(206) 565-4011
Fax
(206) 440-1800
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Tekleab Gebregziabiher Kahsay, CNA
Title
Owner
Phone
(206) 565-4011

Specialties & licenses 1

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

Addresses

Primary practice location

12558 22ND Ave NE
Seattle, WA 98125-4202

Mailing address

12558 22ND Ave NE
Seattle, WA 98125-4202
Phone (206) 565-4011

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1235036526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12558 22ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254202",
            "telephone_number": "206-565-4011",
            "fax_number": "206-440-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12558 22ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254202",
            "telephone_number": "206-565-4011",
            "fax_number": "206-440-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "KAHSAY",
        "authorized_official_first_name": "TEKLEAB",
        "authorized_official_middle_name": "GEBREGZIABIHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-565-4011",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.