Organization Active NPI

Medmarie & Family Homecare LLC

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1699574632
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MEDMARIE & FAMILY HOMECARE LLC
Practice address
10615 NE 25TH PL
Vancouver, WA 98686-4708
Phone
(720) 216-7825
Fax
(360) 828-5926
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Marie Jilo Bah
Title
Administrator/Provider
Phone
(720) 216-7825

Specialties & licenses 1

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

Addresses

Primary practice location

10615 NE 25TH PL
Vancouver, WA 98686-4708

Mailing address

10615 NE 25TH PL
Vancouver, WA 98686-4708
Phone (720) 216-7825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1699574632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 NE 25TH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864708",
            "telephone_number": "720-216-7825",
            "fax_number": "360-828-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 NE 25TH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864708",
            "telephone_number": "720-216-7825",
            "fax_number": "360-828-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMARIE & FAMILY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "JILO",
        "authorized_official_title_or_position": "ADMINISTRATOR/PROVIDER",
        "authorized_official_telephone_number": "720-216-7825"
    },
    "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 Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.