OrganizationActive
At Home Residential Esf LLC
NPI 1508576950 · Assisted Living Facility (Behavioral Disturbances) · Seattle, WA
Provider details
- NPI number
- 1508576950
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Kennedy, Chief Financial Officer(509) 263-4314
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4040 26th Ave Sw Apt 501
Seattle, WA 98106-1295
Phone: (509) 263-4314
Approximate (ZIP-level) locationGet directions
Mailing address
1007 Moyer St
Cheney, WA 99004-1357
Registry dates
- Enumerated
- 2022-11-28
- Last updated
- 2022-11-28
- Certified
- 2022-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.