NEW ERA ADULT FAMILY HOME LLC
NPI 1295203495
Home Health in Bothell, WA

NPI Status: Active since November 06, 2018

Contact Information

428 218TH ST SW
BOTHELL, WA
ZIP 98021
Phone: (206) 228-7599

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  • Organization
  • Home Health
  • CLIA Number: 50D2318542
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About NEW ERA ADULT FAMILY HOME LLC

This page provides the complete NPI Profile along with additional information for New Era Adult Family Home Llc, a provider established in Bothell, Washington operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1295203495 assigned on November 2018. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Genet Tadesse (Provider)

NPI
1295203495
Provider Name
NEW ERA ADULT FAMILY HOME LLC
Entity Type
Organization
Location Address
428 218TH ST SW BOTHELL, WA 98021
Location Phone
(206) 228-7599
Mailing Address
428 218TH ST SW BOTHELL, WA 98021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2018
Last Update Date
11-06-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174200000XOther Service Providers

Meals

 
2177F00000XOther Service Providers

Lodging

 
3251J00000XAgencies

Nursing Care

 
4251T00000XAgencies

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

 
5253Z00000XAgencies

In Home Supportive Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GENET TADESSE

Authorized Official Title
PROVIDER
Authorized Official Phone
(206) 228-7599

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2318542
Facility Type
Other - AFH
Certificate Effective Date
February 12, 2025
Certificate Expiration Date
April 04, 2028
Laboratory Director
GENET TADESSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Era Adult Family Home Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295203495
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22185406418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 4 + 0 + 6 + 4 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1295203495 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295203495, enumerated as an "organization" on November 06, 2018.

The provider is located at 428 218TH ST SW BOTHELL, WA 98021 and the phone number is (206) 228-7599.

Home Health with taxonomy code 251E00000X.