Excellent Adult Family Home 2

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

EXCELLENT ADULT FAMILY HOME 2

Practice address

19114 8TH Ave NW
Shoreline, WA 98177-3000

Phone

(206) 629-5986

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Emnet TesfayeNPI 1447943972

Title

Owner

Phone

(206) 751-4476

Specialties & licenses 1

Addresses

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emnet Tesfaye

  • Nurse's Aide
  • Shoreline, WA
  • NPI 1447943972
  NPD Authorized official

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1457044547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19114 8TH AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773000",
            "telephone_number": "206-629-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19114 8TH AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773000",
            "telephone_number": "206-629-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT ADULT FAMILY HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "EMNET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-751-4476"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Eugenio, MS, CCC-SLP
• Suzanne El-Attar Evans, M.D.
• Nicole Monique Evanson
• Everett Infectious Diseases, PLLC
• Erica Ewell
• Lauren Kate Fabro, ARNP
• Lea Fairbanks, LMHC
• Megan Lee Fantozzi
• Nicholas Farago
• Khaled Fares, RPH

• Adult Day Care Clinic/Center in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Adult Day Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.