Organization Active NPI

Anis Open Heaven LLC

  • Adult Care Home Facility
  • Everett, WA
National Provider Identifier
1386541696
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ANIS OPEN HEAVEN LLC
Practice address
2307 Columbia Ave
Everett, WA 98203-5352
Phone
(425) 539-8233
Fax
(425) 298-8658
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Olajumoke Anigilaje, NAC
Title
Provider
Phone
(425) 539-8233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2307 Columbia Ave
Everett, WA 98203-5352

Mailing address

2307 Columbia Ave
Everett, WA 98203-5352
Phone (425) 539-8233

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1386541696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 COLUMBIA AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035352",
            "telephone_number": "425-539-8233",
            "fax_number": "425-298-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 COLUMBIA AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982035352",
            "telephone_number": "425-539-8233",
            "fax_number": "425-298-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIS OPEN HEAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "ANIGILAJE",
        "authorized_official_first_name": "OLAJUMOKE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "425-539-8233",
        "authorized_official_credential": "NAC"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.