RESURRECTION ADULT FAMILY HOME LLC
NPI 1205707486
Licensed Practical Nurse in Vancouver, WA

Active since September 12, 2025
14824 NE 81ST ST, VANCOUVER, WA 98682(571) 665-9250(360) 768-5289 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Resurrection Adult Family Home Llc NPPES

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

RESURRECTION ADULT FAMILY HOME LLC (NPI 1205707486) is a healthcare organization registered as a licensed practical nurse in Vancouver, Washington and active in the NPI registry since September 2025. The organization lists Abebe M Gobeze, Provider, as its authorized official.

NPPES Registry Identity

NPI1205707486
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameRESURRECTION ADULT FAMILY HOME LLC
Location Address14824 NE 81ST STVancouver, WA 98682-3406
Mailing Address14824 Ne 81st StVancouver, WA 98682-3406 · (571) 665-9250 · Fax (360) 768-5289
Fax(360) 768-5289
Organization SubpartYes
Authorized OfficialAbebe M GobezeProvider · (571) 665-9250
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1205707486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
14824 NE 81ST ST, Vancouver, WA 98682

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

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 Resurrection Adult Family Home LLC's NPI number?

The NPI number for Resurrection Adult Family Home LLC is 1205707486. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Resurrection Adult Family Home LLC located?

Resurrection Adult Family Home LLC is located at 14824 NE 81st St, Vancouver, WA 98682. The listed phone number is (571) 665-9250.

What is Resurrection Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Resurrection Adult Family Home LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.