Organization Active NPI

House of Elite Adult Family Home 2 LLC

  • Adult Care Home Facility
  • Des Moines, WA
National Provider Identifier
1386556744
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HOUSE OF ELITE ADULT FAMILY HOME 2 LLC
Practice address
1901 S 259TH St
Des Moines, WA 98198-9043
Phone
(206) 261-6152
Fax
(425) 984-0552
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Jazmine Devantier
Title
Administrator
Phone
(206) 261-6152

Specialties & licenses 1

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

Addresses

Primary practice location

1901 S 259TH St
Des Moines, WA 98198-9043

Mailing address

1901 S 259TH St
Des Moines, WA 98198-9043
Phone (206) 261-6152

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1386556744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 259TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989043",
            "telephone_number": "206-261-6152",
            "fax_number": "425-984-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 259TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989043",
            "telephone_number": "206-261-6152",
            "fax_number": "425-984-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF ELITE ADULT FAMILY HOME 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "DEVANTIER",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-261-6152"
    },
    "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 Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.