Organization Active NPI

Epiphany Home Health Care LLC

Doing business as New Life Home Care

  • In Home Supportive Care Agency
  • Renton, WA
National Provider Identifier
1629882287
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EPIPHANY HOME HEALTH CARE LLC
Doing business as
New Life Home Care
Practice address
3407 Meadow Ave N
Renton, WA 98056-1920
Phone
(425) 545-9844
Fax
(425) 988-3161
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Adjaratou Katembo
Title
Manager
Phone
(206) 834-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3407 Meadow Ave N
Renton, WA 98056-1920

Mailing address

3407 Meadow Ave N
Renton, WA 98056-1920
Phone (425) 545-9844

Other names 1

  • NEW LIFE HOME CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1629882287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 MEADOW AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561920",
            "telephone_number": "425-545-9844",
            "fax_number": "425-988-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 MEADOW AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980561920",
            "telephone_number": "425-545-9844",
            "fax_number": "425-988-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "KATEMBO",
        "authorized_official_first_name": "ADJARATOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-834-5671"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW LIFE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.