MEDICARE: NDONDO FAMILY ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QA0600X	Adult Day Care Clinic/Center
2	251E00000X	Home Health Agency
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1386511061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NDONDO FAMILY ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8830 NESBIT AVE N APT 6
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4086
Country	:	US
Telephone Number	:	425-790-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	8830 NESBIT AVE N APT 6
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4086
Country	:	US
Telephone Number	:	253-534-5790
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PRINCIPE NDONDO
Credential	:
Telephone Number	:	253-534-5790

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	06/12/2026

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