Adam and May Adult Family Home, Inc
Organization Active NPI Registered Nurse · Vancouver, WA
NPI 1629923560 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1629923560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- ADAM AND MAY ADULT FAMILY HOME, INC
- Practice address
- 2611 SE 130TH Ave
Vancouver, WA 98683-6583 - Phone
- (763) 400-0661
- Fax
- (360) 882-3888
- NPI assigned
- Mar 4, 2026
- Organization subpart
- No
Authorized official
- Name
- Biftu Hassan
- Title
- Owner
- Phone
- (763) 400-0661
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2335799 | Adam and May Adult Family Home | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes |
Addresses
Primary practice location
2611 SE 130TH Ave
Vancouver, WA 98683-6583
Mailing address
2611 SE 130TH Ave
Vancouver, WA 98683-6583
Phone (763) 400-0661
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All providers in Vancouver, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.