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 26, 2026.

About Verdant Grove Adult Family Home, Llc NPPES

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

VERDANT GROVE ADULT FAMILY HOME, LLC (NPI 1083128375) is a healthcare organization registered as an adult care home in Seattle, Washington and active in the NPI registry since November 2017. The organization lists Lilia Peros Saducos, Provider, as its authorized official.

NPPES Registry Identity

NPI1083128375
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameVERDANT GROVE ADULT FAMILY HOME, LLC
Location Address9644 54TH AVE SSeattle, WA 98118-5705
Mailing Address9650 54th Ave SSeattle, WA 98118-5705
Organization SubpartNo
Authorized OfficialLilia Peros SaducosProvider · (206) 694-3513
Enumeration DateNovember 22, 2017
NPI 1083128375 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 · 751083
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.

9644 54TH AVE S, Seattle, WA 98118

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Verdant Grove Adult Family Home, LLC's NPI number?

The NPI number for Verdant Grove Adult Family Home, LLC is 1083128375. It was assigned to this organization in the NPPES registry on November 22, 2017.

Where is Verdant Grove Adult Family Home, LLC located?

Verdant Grove Adult Family Home, LLC is located at 9644 54th Ave S, Seattle, WA 98118. The listed phone number is (206) 722-2766.

What is Verdant Grove Adult Family Home, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Verdant Grove Adult Family Home, LLC was last updated on November 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.