GRACE LAND ADULT FAMILY HOME
NPI 1306017124
Custodial Care Facility - Adult Care Home in Battle Ground, WA

Active since March 19, 2008
20613 NE 176TH AVE, BATTLE GROUND, WA 98604(360) 687-4433(360) 687-9113 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Land Adult Family Home NPPES

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

GRACE LAND ADULT FAMILY HOME (NPI 1306017124) is a healthcare organization registered as an adult care home in Battle Ground, Washington and active in the NPI registry since March 2008. The organization lists Fe Pangan Cava, Owner, as its authorized official.

NPPES Registry Identity

NPI1306017124
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBLUEBERRY HILLS ADULT FAMILY HOME
Location Address20613 NE 176TH AVEBattle Ground, WA 98604-3608
Mailing Address20613 Ne 176th AveBattle Ground, WA 98604-3608 · (360) 687-4433 · Fax (360) 687-9113
Fax(360) 687-9113
Organization SubpartNo
Authorized OfficialFe Pangan CavaOwner · (360) 687-4433
Enumeration DateMarch 19, 2008
NPI 1306017124 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
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.
20613 NE 176TH AVE, Battle Ground, WA 98604

Other Names 1

Doing Business AsGrace Land Adult Family Home

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 Blueberry Hills Adult Family Home's NPI number?

The NPI number for Blueberry Hills Adult Family Home is 1306017124. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Grace Land Adult Family Home.

Where is Blueberry Hills Adult Family Home located?

Blueberry Hills Adult Family Home is located at 20613 NE 176th Ave, Battle Ground, WA 98604. The listed phone number is (360) 687-4433.

What is Blueberry Hills Adult Family Home'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 Blueberry Hills Adult Family Home was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.