1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Custodial Care Facility
  6. NPI Profile

VERDANT GROVE ADULT FAMILY HOME, LLC
NPI 1083128375
Custodial Care Facility - Adult Care Home in Seattle, WA

Active since November 22, 2017
9644 54TH AVE S, SEATTLE, WA 98118(206) 722-2766 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Custodial Care Facility
  • Adult Care Home

About VERDANT GROVE ADULT FAMILY HOME, LLC

This page provides the complete NPI Profile along with additional information for Verdant Grove Adult Family Home, Llc, a provider established in Seattle, Washington operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1083128375 assigned on November 2017. The practitioner's primary taxonomy code is 311ZA0620X with license number 751083 (WA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Lilia Peros Saducos (Provider)

NPI
1083128375 Verify this NPI
Provider Name
VERDANT GROVE ADULT FAMILY HOME, LLC
Entity Type
Organization
Location Address
9644 54TH AVE S SEATTLE, WA 98118
Location Phone
(206) 722-2766
Mailing Address
9650 54TH AVE S SEATTLE, WA 98118
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2017
Last Update Date
11-22-2017
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
751083
License State
WA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LILIA PEROS SADUCOS

Authorized Official Title
PROVIDER
Authorized Official Phone
(206) 694-3513

Reviews for VERDANT GROVE ADULT FAMILY HOME, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is VERDANT GROVE ADULT FAMILY HOME, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1083128375, enumerated as an "organization" on November 22, 2017.

Where is the provider located?

The provider is located at 9644 54TH AVE S SEATTLE, WA 98118 and the phone number is (206) 722-2766.

What is the provider's specialty?

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