Healthcare Provider Details

I. General information

NPI: 1386511061
Provider Name (Legal Business Name): NDONDO FAMILY ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8830 NESBIT AVE N APT 6
SEATTLE WA
98103-4086
US

IV. Provider business mailing address

8830 NESBIT AVE N APT 6
SEATTLE WA
98103-4086
US

V. Phone/Fax

Practice location:
  • Phone: 253-534-5790
  • Fax:
Mailing address:
  • Phone: 425-790-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PRINCIPE NDONDO
Title or Position: CEO
Credential:
Phone: 253-534-5790