MIHAIL MADAN
NPI 1023754843
Custodial Care Facility - Adult Care Home in Mountlake Terrace, WA

Active since May 05, 2022
22106 43RD AVE W, MOUNTLAKE TERRACE, WA 98043(206) 430-3889 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mihail Madan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIHAIL MADAN (NPI 1023754843) is an individual adult care home provider in Mountlake Terrace, Washington, licensed in Washington (A755204) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1023754843
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMIHAIL MADAN
Location Address22106 43RD AVE WMountlake Terrace, WA 98043-3611
Mailing Address22106 43rd Ave WMountlake Terrace, WA 98043-3611 · (206) 430-3889
Sole ProprietorYes
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
NPI 1023754843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in WA · A755204
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

22106 43RD AVE W, Mountlake Terrace, WA 98043

Other Identifiers 1

Medicaid2195411WA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023754843, enumerated as an "individual" on May 05, 2022.

The provider is located at 22106 43RD AVE W MOUNTLAKE TERRACE, WA 98043 and the phone number is (206) 430-3889.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.