Active NPI
Ella Blla LLC
- Nursing Care Agency
- Lynnwood, WA
National Provider Identifier
1629548722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603041592 | Other | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.