TESHOME ABATE HAILE PROVIDER
NPI 1205655222
Custodial Care Facility - Adult Care Home in Everett, WA

Q: What is Teshome Haile's NPI number?

The NPI number for Teshome Haile is 1205655222. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Q: What is Teshome Haile's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teshome Haile was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since October 07, 2024

2117 127TH PL SW, EVERETT, WA 98204(425) 355-5159(360) 386-9890 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Teshome Abate Haile Provider NPPES

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

TESHOME ABATE HAILE PROVIDER (NPI 1205655222) is an individual adult care home provider in Everett, Washington, licensed in Washington (751102) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1205655222

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameTESHOME ABATE HAILECredential: PROVIDER

Location Address2117 127TH PL SWEverett, WA 98204-5580

Mailing Address2117 127th Pl SwEverett, WA 98204-5580 · (425) 355-5159 · Fax (360) 386-9890

Phone(425) 355-5159

Fax(360) 386-9890

Sole ProprietorYes

Enumeration DateOctober 7, 2024

Last NPPES UpdateOctober 8, 2024

NPPES CertifiedOctober 8, 2024

✔ NPI 1205655222 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 · 751102

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.

2117 127TH PL SW, Everett, WA 98204

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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 Teshome Haile's NPI number?

The NPI number for Teshome Haile is 1205655222. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Teshome Haile located?

Teshome Haile practices at 2117 127th Pl SW, Everett, WA 98204. The listed phone number is (425) 355-5159.

What is Teshome Haile'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 Teshome Haile was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.