Active NPI
Evergreen Park Afh
- Adult Care Home Facility
- Bellevue, WA
National Provider Identifier
1912794819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- EVERGREEN PARK AFH
- Practice address
- 17126 SE 29TH PL
Bellevue, WA 98008-5600 - Phone
- (206) 660-1273
- NPI assigned
- Apr 23, 2025
- Last updated
- Apr 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrian Balasa
- Title
- Office Administrator
- Phone
- (425) 753-2416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary |
Addresses
Primary practice location
17126 SE 29TH PL
Bellevue, WA 98008-5600
Mailing address
17126 SE 29TH PL
Bellevue, WA 98008-5600
Phone (206) 660-1273
Other practice location 1
142 S 295th Pl
Federal Way, WA 98003-3659
Phone (253) 839-9438
Other practice location 2
32020 11th Ave SW
Federal Way, WA 98023-5548
Phone (253) 344-1139
Other practice location 3
7520 E Green Lake Dr N
Seattle, WA 98103-4912
Phone (206) 985-2048
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Care Home Facility
- Bellevue, WA
- NPI 1821885146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1912794819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17126 SE 29TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980085600",
"telephone_number": "206-660-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17126 SE 29TH PL",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980085600",
"telephone_number": "206-660-1273"
}
],
"practiceLocations": [
{
"address_1": "142 S 295th Pl",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980033659",
"country_code": "US",
"telephone_number": "253-839-9438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32020 11th Ave SW",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980235548",
"country_code": "US",
"telephone_number": "253-344-1139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7520 E Green Lake Dr N",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981034912",
"country_code": "US",
"telephone_number": "206-985-2048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EVERGREEN PARK AFH",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "BALASA",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "425-753-2416"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
- Melissa Tarbuck Evans, DPT
- Naomi Evans
- Everett Physical Therapy & Sportsperformance Center PLLC (Bellevue Sports Physical Therapy)
- Evergreen Court
- Evergreen Family Dentistry Bellevue
- Evergreen Washington Healthcare Greenwood, L.L.C. (Bellevue Post Acute)
- Lisa Eversole, OTRL
- Everything Spine Inc.
- Evidence Based Therapy Solutions
- Linda S. Ewald, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.