Organization Active NPI

Amazing Samar Adult Family Home LLC

  • Adult Care Home Facility
  • Everett, WA
National Provider Identifier
1407664337
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AMAZING SAMAR ADULT FAMILY HOME LLC
Practice address
2314 Larlin Dr
Everett, WA 98203-6932
Phone
(425) 503-2432
Fax
(425) 405-3622
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Sammy Biwott, CNA, HEALTH CARE MGTNPI 1912715046
Title
Provider/Owner
Phone
(425) 503-2432

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
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2314 Larlin Dr
Everett, WA 98203-6932

Mailing address

2314 Larlin Dr
Everett, WA 98203-6932
Phone (425) 503-2432

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": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1407664337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 LARLIN DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036932",
            "telephone_number": "425-503-2432",
            "fax_number": "425-405-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 LARLIN DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036932",
            "telephone_number": "425-503-2432",
            "fax_number": "425-405-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING SAMAR ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "BIWOTT",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "425-503-2432",
        "authorized_official_credential": "CNA, HEALTH CARE MGT"
    },
    "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 Dec 23, 2024; 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.