Pure Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PURE ADULT FAMILY HOME LLC

Practice address

2912 SW 333Rd St
Federal Way, WA 98023-2727

Phone

(253) 293-6245

Fax

(253) 392-2427

NPI assigned

Jul 30, 2025

Organization subpart

No

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

Authorized official

Name

Esayas Mezgebu

Title

Partner

Phone

(206) 931-3163

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1356224836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 S 246TH CT",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324155",
            "telephone_number": "206-931-3163",
            "fax_number": "253-392-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 SW 333RD ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232727",
            "telephone_number": "253-293-6245",
            "fax_number": "253-392-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MEZGEBU",
        "authorized_official_first_name": "ESAYAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "206-931-3163"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.