Famous Applewhite, CNA

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

758667 Issued in WA

Practice address

4917 Henley St
Blaine, WA 98230-9610

Phone

(346) 754-0595

NPI assigned

May 6, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• God'S Immense Care Foundation LLC

  • Adult Care Home Facility
  • Blaine, WA
  • NPI 1881527786
  NPD Authorized official

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235066085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 HENLEY ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 HENLEY ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309610",
            "telephone_number": "346-754-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEWHITE",
        "first_name": "FAMOUS",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "758667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold J Allen, L.M.H.C.
• Irving Anders, DMD MS
• Stuar Jared Andrade, LPC/CPC
• Christopher John Andruscavage, D.C.
• Meghan Elizabeth Andruscavage, LMT
• Emma Jennings, Diane Auflick
• Autism Improvement Services
• Bonnie Lynn Ayotte, LH 60996772
• Marilyn Theresa Bader-Nesse, LMHC
• Joseph Banham

• Adult Care Home Facility in Blaine, WA
• Providers in Blaine, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.