Organization Active NPI

Hill's Adult Family Home LLC

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1689497653
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HILL'S ADULT FAMILY HOME LLC
Practice address
4117 S Lee St
Spokane, WA 99203-4220
Phone
(206) 471-3217
Fax
(509) 270-3214
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Henok Kebede Mekonnen, PROVIDER
Title
Owner
Phone
(509) 270-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4117 S Lee St
Spokane, WA 99203-4220

Mailing address

4117 S Lee St
Spokane, WA 99203-4220
Phone (206) 471-3217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1689497653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 S LEE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034220",
            "telephone_number": "206-471-3217",
            "fax_number": "509-270-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 S LEE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034220",
            "telephone_number": "206-471-3217",
            "fax_number": "509-270-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL'S ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "HENOK",
        "authorized_official_middle_name": "KEBEDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-270-3214",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.