Organization Active NPI

Devoted Care Adult Family Home LLC

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1417844705
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DEVOTED CARE ADULT FAMILY HOME LLC
Practice address
7115 N Greenwood PL
Spokane, WA 99208-5063
Phone
(253) 326-6967
Fax
(509) 800-4428
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Samuel Kabui
Title
Administrator
Phone
(253) 326-6967

Specialties & licenses 1

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

Addresses

Primary practice location

7115 N Greenwood PL
Spokane, WA 99208-5063

Mailing address

7115 N Greenwood PL
Spokane, WA 99208-5063
Phone (509) 868-1182

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
50D2315489Devoted Care Adult Family Home LLC7115 N Greenwood PL, Spokane, WA 99208Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1417844705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 N GREENWOOD PL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085063",
            "telephone_number": "509-868-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 N GREENWOOD PL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085063",
            "telephone_number": "253-326-6967",
            "fax_number": "509-800-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED CARE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "KABUI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-326-6967"
    },
    "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 Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.