Active NPI
Duvall Hills Adult Family Home LLC
- Assisted Living Facility
- Duvall, WA
National Provider Identifier
1992636609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DUVALL HILLS ADULT FAMILY HOME LLC
- Practice address
- 27710 NE 142ND PL
Duvall, WA 98019-8397 - Phone
- (425) 318-6038
- Fax
- (425) 577-6530
- NPI assigned
- May 29, 2026
- 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
- Emmanuel Wegge Bushebi, HCA
- Title
- Provider
- Phone
- (682) 553-0233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
27710 NE 142ND PL
Duvall, WA 98019-8397
Mailing address
27710 NE 142ND PL
Duvall, WA 98019-8397
Phone (425) 318-6038
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2341134 | Duvall Hills Adult Family Home | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1992636609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27710 NE 142ND PL",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198397",
"telephone_number": "425-318-6038",
"fax_number": "425-577-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27710 NE 142ND PL",
"city": "DUVALL",
"state": "WA",
"postal_code": "980198397",
"telephone_number": "425-318-6038",
"fax_number": "425-577-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUVALL HILLS ADULT FAMILY HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "BUSHEBI",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "WEGGE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "682-553-0233",
"authorized_official_credential": "HCA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.