Healthcare Provider Details

I. General information

NPI: 1881507796
Provider Name (Legal Business Name): CASCADIAN ADULT FMILY HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14404 CASCADIAN WAY
EVERETT WA
98208-7356
US

IV. Provider business mailing address

14404 CASCADIAN WAY
EVERETT WA
98208-7356
US

V. Phone/Fax

Practice location:
  • Phone: 206-851-1813
  • Fax: 425-967-3884
Mailing address:
  • Phone: 206-851-1813
  • Fax: 425-967-3884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ALEMSEGED BENIT
Title or Position: CARE GIVER
Credential: NAR
Phone: 206-851-1813