Glamour Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GLAMOUR ADULT FAMILY HOME

Practice address

15808 NE 43Rd St
Vancouver, WA 98682-7131

Phone

(425) 599-7468

Fax

(360) 828-5833

NPI assigned

Jul 15, 2026

Organization subpart

No

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

Authorized official

Name

Kidist Amare

Title

Owner

Phone

(425) 599-7468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1558281147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 NE 43RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827131",
            "telephone_number": "425-599-7468",
            "fax_number": "360-828-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 NE 43RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827131",
            "telephone_number": "425-599-7468",
            "fax_number": "360-828-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAMOUR ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "AMARE",
        "authorized_official_first_name": "KIDIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-599-7468"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lainey Givens
• Sara Giza
• Christina A Gjesvold, LICSW
• Shannon Glade
• Savannah Glahn, RN
• Michael J Glanzer, OD
• Evening Rose Glaser, PA-C
• Graham D Glass, MD
• Krista Lorraine Glasson Killmer, PHARM.D.
• Haley Glassy

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.