New Era Adult Family Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW ERA ADULT FAMILY HOME LLC

Doing business as

Genet Tadesse
New Era Adult Family Home LLC

Practice address

428 218TH St SW
Bothell, WA 98021-8155

Phone

(206) 228-7599

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Genet Tadesse

Title

Provider

Phone

(206) 228-7599

Specialties & licenses 6

Addresses

Other names 2

• Genet Tadesse Doing business as
• New Era Adult Family Home LLC Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1295203495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 218TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 218TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218155",
            "telephone_number": "206-228-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "TADESSE",
        "authorized_official_first_name": "GENET",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-228-7599"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genet Tadesse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Era Adult Family Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Bothell, WA
• Providers in Bothell, WA by specialty
• Home Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.