Active NPI
Hiljay Homes Inc
- Licensed Practical Nurse
- Shoreline, WA
National Provider Identifier
1275143570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- Legal business name
- HILJAY HOMES INC
- Practice address
- 111 NW 203Rd St
Shoreline, WA 98177-2019 - Phone
- (206) 542-1910
- NPI assigned
- Aug 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jo Ann M Adiele, LPN
- Title
- President
- Phone
- (206) 542-1910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Primary |
Addresses
Primary practice location
111 NW 203Rd St
Shoreline, WA 98177-2019
Mailing address
111 NW 203Rd St
Shoreline, WA 98177-2019
Phone (206) 542-1910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118250 | Medicaid | WA |
Other names 1
- Hiljay Homes Inc
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SHORELINE | Direct | |
| CONNECT URL | SHORELINE | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2284826 | Hiljay Homes Inc | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596412800000",
"number": "1275143570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NW 203RD ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981772019",
"telephone_number": "206-542-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NW 203RD ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981772019",
"telephone_number": "206-542-1910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILJAY HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A",
"authorized_official_last_name": "ADIELE",
"authorized_official_first_name": "JO ANN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-542-1910",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118250",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SHORELINE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "111 NW 203rd St",
"city": "Shoreline",
"state": "WA",
"country_code": "US",
"postal_code": "981772019",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SHORELINE",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "111 NW 203rd St",
"city": "Shoreline",
"state": "WA",
"country_code": "US",
"postal_code": "981772019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hiljay Homes Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.