Senior Village Adult Family Home LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

SENIOR VILLAGE ADULT FAMILY HOME LLC

Practice address

931 177TH Ave NE
Bellevue, WA 98008-3408

Phone

(425) 625-1604

Fax

(425) 590-9881

NPI assigned

Jul 15, 2026

Organization subpart

Yes

Parent organization

SENIOR VILLAGE AFH LLCAs reported in NPPES

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

Authorized official

Name

Miss Bobbette Kerr, CNA

Title

Provider/Administrator

Phone

(425) 625-1604

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

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1902726599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 177TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083408",
            "telephone_number": "425-625-1604",
            "fax_number": "425-590-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 177TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083408",
            "telephone_number": "425-625-1604",
            "fax_number": "425-590-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR VILLAGE ADULT FAMILY HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR VILLAGE AFH LLC",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "BOBBETTE",
        "authorized_official_title_or_position": "PROVIDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "425-625-1604",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.