Individual provider Active NPI

Zamzam Aden Abdulahi

  • Adult Care Home Facility
  • Federal Way, WA
National Provider Identifier
1831925932
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
756550 Issued in WA
Practice address
33233 36TH Ave SW
Federal Way, WA 98023-2903
Phone
(206) 536-9803
Fax
(253) 409-2428
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 756550 WA Primary

Addresses

Primary practice location

33233 36TH Ave SW
Federal Way, WA 98023-2903

Mailing address

33233 36TH Ave SW
Federal Way, WA 98023-2903
Phone (206) 536-9803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
756550WAMDAdult Care Home Facility

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1831925932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33233 36TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232903",
            "telephone_number": "206-536-9803",
            "fax_number": "253-409-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33233 36TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232903",
            "telephone_number": "206-536-9803",
            "fax_number": "253-409-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULAHI",
        "first_name": "ZAMZAM",
        "middle_name": "ADEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "756550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.