Organization Active NPI

Galilee Afh

  • Nursing Home Administrator
  • Mountlake Terrace, WA
National Provider Identifier
1750144390
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
GALILEE AFH
Practice address
22906 41St PL W
Mountlake Terrace, WA 98043-5022
Phone
(206) 883-3743
Fax
(425) 412-6484
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Siye Asmerom Haile, CAREGIVER
Title
Administrator
Phone
(206) 883-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

22906 41St PL W
Mountlake Terrace, WA 98043-5022

Mailing address

22906 41St PL W
Mountlake Terrace, WA 98043-5022
Phone (206) 883-3743

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2318389Galilee Afh22906 41St PL W, Mountlake Terrace, WA 98043Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1750144390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22906 41ST PL W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435022",
            "telephone_number": "206-883-3743",
            "fax_number": "425-412-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22906 41ST PL W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980435022",
            "telephone_number": "206-883-3743",
            "fax_number": "425-412-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALILEE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "SIYE",
        "authorized_official_middle_name": "ASMEROM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-883-3743",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.