NPIMap

Organization Active NPI

Newcastle Adult Family Home LLC

  • Adult Care Home Facility
  • Bellevue, WA
National Provider Identifier
1427743343
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
NEWCASTLE ADULT FAMILY HOME LLC
Practice address
6583 125TH Ave SE
Bellevue, WA 98006-3936
Phone
(206) 412-0578
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Berhanu Alemu Gurumu
Title
Provider
Phone
(206) 412-0578

Specialties & licenses 1

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

Addresses

Primary practice location

6583 125TH Ave SE
Bellevue, WA 98006-3936

Mailing address

6583 125TH Ave SE
Bellevue, WA 98006-3936
Phone (206) 412-0578

Other names 1

  • ETD HOME CARE INC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1427743343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6583 125TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063936",
            "telephone_number": "206-412-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6583 125TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063936",
            "telephone_number": "206-412-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCASTLE ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GURUMU",
        "authorized_official_first_name": "BERHANU",
        "authorized_official_middle_name": "ALEMU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-412-0578"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETD HOME CARE INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.