Active NPI
Family Hospice Services LLC.
- Community Based Hospice Care Agency
- Bellevue, WA
National Provider Identifier
1932929536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FAMILY HOSPICE SERVICES LLC.
- Practice address
- 1404 140TH PL NE
Bellevue, WA 98007-3915 - Phone
- (425) 260-4591
- Fax
- (425) 369-9469
- NPI assigned
- Oct 16, 2024
- 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
- Mrs. Manuela Paul, RN,BSN
- Title
- Administrator
- Phone
- (425) 260-4581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1404 140TH PL NE
Bellevue, WA 98007-3915
Mailing address
25633 SE 30TH St
Sammamish, WA 98075-9177
Phone (425) 260-4581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250124000269 | WA | Part A Provider - Hospice | 3173052925 | Practice locations: Bellevue, WA |
Hospice certification: CCN 501563
- Legal name
- FAMILY HOSPICE SERVICES LLC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 7, 2025
- Last certification
- Sep 25, 2025
- Organization structure
- LLC
- Enrollment address
- 1404 140TH PL NE
Bellevue, WA 98007-3915
National Provider Directory
National Provider DirectoryLocations
1404 140th Pl NE
Bellevue, WA 98007
Phone (425) 260-4591
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Manuela Paul | 5% Or Greater Direct Ownership Interest | Jan 15, 2025 | 100% |
| Operational/Managerial Control | Jan 15, 2025 | ||
| Hannah Alexia Nutu | W-2 Managing Employee | Nov 2, 2024 | |
| Joshua H Le | Contracted Managing Employee | Jan 15, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1932929536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25633 SE 30TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759177",
"telephone_number": "425-260-4581",
"fax_number": "425-369-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 140TH PL NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073915",
"telephone_number": "425-260-4591",
"fax_number": "425-369-9469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOSPICE SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "MANUELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "425-260-4581",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN,BSN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.