Organization Active NPI

Cove Residential Homes LLC

  • Physical Disabilities Residential Treatment Facility
  • Auburn, WA
National Provider Identifier
1366206542
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
COVE RESIDENTIAL HOMES LLC
Practice address
12538 SE 299TH PL
Auburn, WA 98092-2186
Phone
(206) 397-7270
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Yasmin Mohamed
Title
Owner
Phone
(206) 397-7270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

12538 SE 299TH PL
Auburn, WA 98092-2186

Mailing address

12538 SE 299TH PL
Auburn, WA 98092-2186
Phone (206) 397-7270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1366206542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12538 SE 299TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922186",
            "telephone_number": "206-397-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12538 SE 299TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922186",
            "telephone_number": "206-397-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVE RESIDENTIAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-397-7270"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.