Selevive Continuum of Care Afh

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SELEVIVE CONTINUUM OF CARE AFH

Practice address

4730 88TH St NE
Marysville, WA 98270-3023

Phone

(360) 436-2547

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Vivian Obah, LNHA

Title

Owner

Phone

(360) 436-2547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1861368532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 88TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703023",
            "telephone_number": "360-436-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 88TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703023",
            "telephone_number": "360-436-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELEVIVE CONTINUUM OF CARE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "OBAH",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-436-2547",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.