Organization Active NPI

Ella Blla LLC

  • Nursing Care Agency
  • Lynnwood, WA
National Provider Identifier
1629548722
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
ELLA BLLA LLC
Practice address
2330 189TH PL SW
Lynnwood, WA 98036-4875
Phone
(206) 632-2015
Fax
(425) 670-2037
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dawit T Asfaha
Title
Owner
Phone
(206) 632-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2330 189TH PL SW
Lynnwood, WA 98036-4875

Mailing address

4320 196TH St SW # B736
Lynnwood, WA 98036-6773
Phone (206) 632-2015

Other identifiers 1

IdentifierTypeStateIssuer
603041592OtherLICENSE

National Provider Directory

National Provider Directory

Locations

4320 196th St SW
#B736
Lynnwood, WA 98036

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1629548722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 196TH ST SW # B736",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366773",
            "telephone_number": "206-632-2015",
            "fax_number": "425-670-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 189TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364875",
            "telephone_number": "206-632-2015",
            "fax_number": "425-670-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA BLLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "ASFAHA",
        "authorized_official_first_name": "DAWIT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-632-2015"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "603041592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.