Organization Active NPI

Ellebron LLC

Doing business as Casa Bella Home Care Services

  • In Home Supportive Care Agency
  • Tukwila, WA
National Provider Identifier
1710689443
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ELLEBRON LLC
Doing business as
Casa Bella Home Care Services
Practice address
978 Industry Dr Ste 230
Tukwila, WA 98188-3400
Phone
(888) 413-5860
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ELLEBRON LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Norbelle Suazo
Title
Manager/Administrator
Phone
(888) 413-5860

Specialties & licenses 1

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

Addresses

Primary practice location

978 Industry Dr Ste 230
Tukwila, WA 98188-3400

Mailing address

978 Industry Dr Ste 230
Tukwila, WA 98188-3400
Phone (888) 413-5860

Other names 1

  • Casa Bella Home Care Services Doing business as

National Provider Directory

National Provider Directory
Part of
Ellebron LLC

Locations

978 Industry Dr
Ste 230
Tukwila, WA 98188
Phone (888) 413-5860

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1710689443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 INDUSTRY DR STE 230",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883400",
            "telephone_number": "888-413-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 INDUSTRY DR STE 230",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883400",
            "telephone_number": "888-413-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEBRON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLEBRON LLC",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A",
        "authorized_official_last_name": "SUAZO",
        "authorized_official_first_name": "NORBELLE",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "888-413-5860"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Bella Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.