A & K Adult Family Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

A & K ADULT FAMILY HOME LLC

Doing business as

Private Duty Nurse

Practice address

29850 18TH Ave S
Federal Way, WA 98003-4202

Phone

(206) 228-3360

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kindalem Tesfa Asres, REGISTERED NURSENPI 1134867831

Title

RN

Phone

(206) 228-3360

Specialties & licenses 1

Addresses

Other names 1

• PRIVATE DUTY NURSE Doing business as

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

CLIA laboratory certificates

Practitioners 2

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.

• Kindalem Asres

  • Registered Nurse
  • Federal Way, WA
  • NPI 1134867831
  NPD Authorized official
• Asgedom Hailekeross Woldetekle

  • Registered Nurse
  • Federal Way, WA
  • NPI 1972237535
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1396483897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29850 18TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034202",
            "telephone_number": "206-228-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29850 18TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034202",
            "telephone_number": "206-228-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & K ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "ASRES",
        "authorized_official_first_name": "KINDALEM",
        "authorized_official_middle_name": "TESFA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "206-228-3360",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIVATE DUTY NURSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.