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LEGACY AFH LLC
NPI 1538746490
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since March 26, 2021
17702 NE 31ST ST, VANCOUVER, WA 98682(660) 619-1055 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Afh Llc NPPES

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

LEGACY AFH LLC (NPI 1538746490) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since March 2021. The organization lists Timofey Shevchenko, Owner, as its authorized official.

NPPES Registry Identity

NPI1538746490
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLEGACY AFH LLC
Location Address17702 NE 31ST STVancouver, WA 98682-3694
Mailing Address17702 Ne 31st StVancouver, WA 98682-3694 · (660) 619-1055
Phone(660) 619-1055
Organization SubpartNo
Authorized OfficialTimofey ShevchenkoOwner · (660) 619-1055
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1538746490 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.
17702 NE 31ST ST, Vancouver, WA 98682
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Other Identifiers 1

Medicaid1902483217WA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOFEY SHEVCHENKO RN
Registered Nurse
17702 NE 31ST ST
VANCOUVER, WA 98682
Clark County (660) 619-1055
CHAD TANAG
Registered Nurse
17702 NE 31ST ST
VANCOUVER, WA 98682
Clark County (360) 947-0026

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 Legacy Afh LLC's NPI number?

The NPI number for Legacy Afh LLC is 1538746490. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Legacy Afh LLC located?

Legacy Afh LLC is located at 17702 NE 31st St, Vancouver, WA 98682. The listed phone number is (660) 619-1055.

What is Legacy Afh LLC'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 Legacy Afh LLC was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.