NC Adult Family Home, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

750310 Issued in WA

Legal business name

NC ADULT FAMILY HOME, INC.

Practice address

13726 SE 23Rd LN
Bellevue, WA 98005-4026

Phone

(425) 643-2796

Fax

(425) 644-2462

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Natividad Alviz Corpuz, R.N.NPI 1346638152

Title

Vice-President/Secretary

Phone

(206) 372-2563

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natividad Alviz Corpuz, R.N.

  • Registered Nurse
  • Bellevue, WA
  • NPI 1346638152
  NPD (past) Authorized official
• Neon Corpuz, PA

  • Medical Physician Assistant
  • Bellevue, WA
  • NPI 1487066130
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1841464724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 163RD PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064733",
            "telephone_number": "206-372-2563",
            "fax_number": "425-644-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13726 SE 23RD LN",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054026",
            "telephone_number": "425-643-2796",
            "fax_number": "425-644-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC ADULT FAMILY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "CORPUZ",
        "authorized_official_first_name": "NATIVIDAD",
        "authorized_official_middle_name": "ALVIZ",
        "authorized_official_title_or_position": "VICE-PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "206-372-2563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "750310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.