1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Nursing Home Administrator
  6. NPI Profile

BLUERIDGE AFH LLC
NPI 1184152779
Nursing Home Administrator in Seattle, WA

Active since May 26, 2017CLIA 50D2337050 · Waiver
2106 NW 97TH ST, SEATTLE, WA 98117(206) 755-0861 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Blueridge Afh Llc NPPES

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

BLUERIDGE AFH LLC (NPI 1184152779) is a healthcare organization registered as a nursing home administrator in Seattle, Washington and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amante Fernando Tadique, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184152779
Entity TypeOrganization
Primary Taxonomy376G00000X
Legal Business NameBLUERIDGE AFH LLC
Location Address2106 NW 97TH STSeattle, WA 98117-2451
Mailing Address2106 Nw 97th StSeattle, WA 98117-2451 · (206) 755-0861
Phone(206) 755-0861
Organization SubpartNo
Authorized OfficialAmante Fernando TadiqueCeo · (206) 755-0861
Enumeration DateMay 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1184152779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in WA · A750023
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
2106 NW 97TH ST, Seattle, WA 98117
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2337050

Blue Ridge Afh · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2337050
Laboratory TypeAfh
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmante Tadique
Laboratory Phone(206) 829-9828
Laboratory LocationBlue Ridge Afh2106 NW 97th St, Seattle, WA 98117
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Blueridge Afh LLC's NPI number?

The NPI number for Blueridge Afh LLC is 1184152779. It was assigned to this organization in the NPPES registry on May 26, 2017.

Where is Blueridge Afh LLC located?

Blueridge Afh LLC is located at 2106 NW 97th St, Seattle, WA 98117. The listed phone number is (206) 755-0861.

What is Blueridge Afh LLC's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

Does Blueridge Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2337050) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blueridge Afh LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.