Organization Active NPI

Duvall Hills Adult Family Home LLC

  • Assisted Living Facility
  • Duvall, WA
National Provider Identifier
1992636609
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on May 29, 2026

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2341134Duvall Hills Adult Family Home27710 NE 142ND PL, Duvall, WA 98019Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.