Healthcare Provider Details

I. General information

NPI: 1487585121
Provider Name (Legal Business Name): A COMPASSION VILLA ADULT FAMILY HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 G ST SE
AUBURN WA
98002-6731
US

IV. Provider business mailing address

1511 G ST SE
AUBURN WA
98002-6731
US

V. Phone/Fax

Practice location:
  • Phone: 405-229-6244
  • Fax: 253-479-5402
Mailing address:
  • Phone: 405-229-6244
  • Fax: 253-479-5402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: BENARD MWANGI CHEGE
Title or Position: AUTHORIZED AGENT
Credential:
Phone: 405-229-6244