Organization Active NPI

Hiyab Adult Family Home L.L.C.

  • Adult Care Home Facility
  • Shoreline, WA
National Provider Identifier
1710897392
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HIYAB ADULT FAMILY HOME L.L.C.
Practice address
18015 Ashworth Ave N
Shoreline, WA 98133-4524
Phone
(206) 629-4252
Fax
(206) 260-7282
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Azeb Hadgu
Title
Owner
Phone
(206) 629-4252

Specialties & licenses 1

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

Addresses

Primary practice location

18015 Ashworth Ave N
Shoreline, WA 98133-4524

Mailing address

18015 Ashworth Ave N
Shoreline, WA 98133-4524
Phone (206) 629-4252

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1710897392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18015 ASHWORTH AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334524",
            "telephone_number": "206-629-4252",
            "fax_number": "206-260-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18015 ASHWORTH AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334524",
            "telephone_number": "206-629-4252",
            "fax_number": "206-260-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIYAB ADULT FAMILY HOME L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "HADGU",
        "authorized_official_first_name": "AZEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-629-4252"
    },
    "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 Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.