Organization Active NPI

Ark Valley Adult Family Home LLC

  • Registered Nurse
  • Spokane Valley, WA
National Provider Identifier
1396437083
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
ARK VALLEY ADULT FAMILY HOME LLC
Doing business as
Ark Valley Adult Family Home LLC
Practice address
6412 E 9TH Ave
Spokane Valley, WA 99212-0177
Phone
(509) 723-3568
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Aman Abraha, RNNPI 1295382091
Title
Manager
Phone
(206) 272-0571

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)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

6412 E 9TH Ave
Spokane Valley, WA 99212-0177

Mailing address

6412 E 9TH Ave
Spokane Valley, WA 99212-0177

Other names 1

  • ARK VALLEY ADULT FAMILY HOME LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2330675Ark Valley Adult Family Home LLC6412 E 9TH Ave, Spokane Valley, WA 99212Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

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": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1396437083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 E 9TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 E 9TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120177",
            "telephone_number": "509-723-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK VALLEY ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHA",
        "authorized_official_first_name": "AMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-272-0571",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARK VALLEY ADULT FAMILY HOME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.