At Home Residential Esf LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

AT HOME RESIDENTIAL ESF LLC

Practice address

4040 26TH Ave SW Apt 501
Seattle, WA 98106-1295

Phone

(509) 263-4314

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 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

Charles KennedyNPI 1740927193

Title

Chief Financial Officer

Phone

(509) 263-4314

Specialties & licenses 1

Addresses

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.

• Charles Kennedy

  • Home Health Aide
  • Cheney, WA
  • NPI 1740927193
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1508576950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MOYER ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041357",
            "telephone_number": "509-263-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 26TH AVE SW APT 501",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981061295",
            "telephone_number": "509-263-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME RESIDENTIAL ESF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "509-263-4314"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Aston
• Linda J. Astrom, R.D.
• Allysa Tejano Astudillo
• Truphosa Aswani, MD, MPH
• Toni Aswegan
• At Mobile Imaging LLC
• Ata Podiatric and Integrative Medicine, PLLC
• Anna Maria Ataei, DPT
• Taoufik Atallah, AAC
• Elena I Atanasova, FNP

• Assisted Living Facility (Behavioral Disturbances) in Seattle, WA
• Providers in Seattle, WA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.