Organization Active NPI

Bellevue Adult Family Home LLC

Doing business as Bellevue Adult Family Home

  • Home Health Agency
  • Bellevue, WA
National Provider Identifier
1346759750
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
753156 Issued in WA
Legal business name
BELLEVUE ADULT FAMILY HOME LLC
Doing business as
Bellevue Adult Family Home
Practice address
1603 143Rd Ave NE
Bellevue, WA 98007-3927
Phone
(206) 403-3706
Fax
(206) 403-3706
NPI assigned
Sep 28, 2017
Last updated
Sep 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Xing Tian
Title
V P
Phone
(206) 403-3706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 753156 WA Primary

Addresses

Primary practice location

1603 143Rd Ave NE
Bellevue, WA 98007-3927

Mailing address

PO Box 7342
Bellevue, WA 98008-1342
Phone (206) 403-3706

Other names 1

  • Bellevue Adult Family Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1346759750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7342",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980081342",
            "telephone_number": "206-403-3706",
            "fax_number": "425-598-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 143RD AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073927",
            "telephone_number": "206-403-3706",
            "fax_number": "206-403-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "TIAN",
        "authorized_official_first_name": "XING",
        "authorized_official_title_or_position": "V P",
        "authorized_official_telephone_number": "206-403-3706"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "753156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.