OrganizationActive
Resurrection Adult Family Home LLC
NPI 1013629237 · Home Health Agency · Vancouver, WA
Provider details
- NPI number
- 1013629237
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Abebe Gobeze, Director(571) 665-9250
Specialties & taxonomies
Agencies
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10800 Ne 109th Ave
Vancouver, WA 98662-3371
Phone: (360) 258-0698
Street-level locationGet directions
Mailing address
10800 Ne 109th Ave
Vancouver, WA 98662-3371
Additional practice locations (2)
- 10800 Ne 109th AveVancouver, WA 98662-3371Phone: (360) 258-0698
- 14824 Ne 81st StVancouver, WA 98682-3406Phone: (360) 768-5494Fax: (360) 768-5289
Registry dates
- Enumerated
- 2022-12-19
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.