Angle Care Kenmore Afh

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ANGLE CARE KENMORE AFH

Practice address

18504 61St PL NE
Kenmore, WA 98028-3202

Phone

(360) 830-7168

Fax

(425) 949-5064

NPI assigned

Mar 14, 2025

Last updated

Mar 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Weyni Berhe Ghebreyouhanns

Title

Provider

Phone

(360) 830-7168

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": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1992505499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18504 61ST PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283202",
            "telephone_number": "360-830-7168",
            "fax_number": "425-949-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18504 61ST PL NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283202",
            "telephone_number": "360-830-7168",
            "fax_number": "425-949-5064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18504 61st Pl NE",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "WA",
            "postal_code": "980283202",
            "country_code": "US",
            "telephone_number": "360-830-7168",
            "fax_number": "425-949-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGLE CARE KENMORE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "GHEBREYOUHANNS",
        "authorized_official_first_name": "WEYNI",
        "authorized_official_middle_name": "BERHE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-830-7168"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Home Health Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.