Active NPI
Caring Grove Adult Family Home
- Case Management Registered Nurse
- Marysville, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- Legal business name
- CARING GROVE ADULT FAMILY HOME
- Practice address
- 8816 60TH Dr NE
Marysville, WA 98270-2812 - Phone
- (206) 472-8927
- Fax
- (360) 386-8636
- NPI assigned
- Jan 27, 2026
- Last updated
- Jan 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kassim Ibrahim Sheimo, RN
- Title
- Owner
- Phone
- (425) 565-1906
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | NU | Primary |
Addresses
Primary practice location
8816 60TH Dr NE
Marysville, WA 98270-2812
Mailing address
8816 60TH Dr NE
Marysville, WA 98270-2812
Phone (425) 565-1906
National Provider Directory
National Provider Directory- Tax ID family
- Caring Grove Adult Family Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Nurse
- Marysville, WA
- NPI 1124948351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1366391906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8816 60TH DR NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702812",
"telephone_number": "425-565-1906",
"fax_number": "360-386-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8816 60TH DR NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702812",
"telephone_number": "206-472-8927",
"fax_number": "360-386-8636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING GROVE ADULT FAMILY HOME",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "SHEIMO",
"authorized_official_first_name": "KASSIM",
"authorized_official_middle_name": "IBRAHIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-565-1906",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.