Angels Wing Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANGELS WING ADULT FAMILY HOME LLC

Practice address

4718 N Bolivar CT
Spokane Valley, WA 99216

Phone

(831) 747-4130

NPI assigned

Sep 17, 2025

Last updated

Sep 17, 2025By 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

Epeti Brandau, CNA

Title

Owner/Provider

Phone

(831) 747-4130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1598636920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48727",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992281727",
            "telephone_number": "831-747-4130",
            "fax_number": "509-418-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 N BOLIVAR CT",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "831-747-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS WING ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BRANDAU",
        "authorized_official_first_name": "EPETI",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "831-747-4130",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Spokane Valley, WA
• Providers in Spokane Valley, 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 Sep 17, 2025; 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.