Green Valley Afh #2 LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GREEN VALLEY AFH #2 LLC

Practice address

11350 SE 212TH St
Kent, WA 98031-2151

Phone

(206) 551-5264

NPI assigned

Sep 10, 2026

Organization subpart

No

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

Authorized official

Name

Alemtsehay Mengestu

Title

Afh Provided

Phone

(206) 551-5264

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1245140250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 SE 212TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 SE 212TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980312151",
            "telephone_number": "206-551-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY AFH #2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MENGESTU",
        "authorized_official_first_name": "ALEMTSEHAY",
        "authorized_official_title_or_position": "AFH PROVIDED",
        "authorized_official_telephone_number": "206-551-5264"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Gray
• Timothy Ross Gray, DDS
• Tracy Gray, LMT, GCFP
• Great Wall Clinic
• Greater Heights Afh Corp
• Angela Green
• Cassandra Louise Green, LMP
• Kady Falon Green, DPT
• Richard S Green, OD
• Sasheta Green

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Kent, WA
• Providers in Kent, WA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.