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EFREM T KIDANE
NPI 1255293429
Custodial Care Facility - Adult Care Home in Marysville, WA

Active since November 26, 2025
4914 61ST DR NE, MARYSVILLE, WA 98270(206) 330-8331(360) 517-7808 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Efrem T Kidane NPPES

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

EFREM T KIDANE (NPI 1255293429) is an individual adult care home provider in Marysville, Washington, licensed in Washington (758138) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1255293429
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameEFREM T KIDANE
Location Address4914 61ST DR NEMarysville, WA 98270-7552
Mailing Address4914 61st Dr NeMarysville, WA 98270-7552 · (206) 330-8331 · Fax (360) 517-7808
Phone(206) 330-8331
Fax(360) 517-7808
Sole ProprietorYes
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1255293429 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 · 758138
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.
4914 61ST DR NE, Marysville, WA 98270
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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 Efrem Kidane's NPI number?

The NPI number for Efrem Kidane is 1255293429. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Efrem Kidane located?

Efrem Kidane practices at 4914 61st Dr NE, Marysville, WA 98270. The listed phone number is (206) 330-8331.

What is Efrem Kidane'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 Efrem Kidane was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.