Organization Active NPI

Hiljay Homes Inc

  • Licensed Practical Nurse
  • Shoreline, WA
National Provider Identifier
1275143570
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
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

Updated by the provider on Aug 3, 2020

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
118250MedicaidWA

Other names 1

  • Hiljay Homes Inc Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL SHORELINE Direct
CONNECT URL SHORELINE Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2284826Hiljay Homes Inc111 NW 203Rd St, Shoreline, WA 98177Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.