=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740135649
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PEACE AND PLEASANT CARE ADULT FAMILY HOME
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2026
-----------------------------------------------------
Last Update Date | 03/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17223 37TH LN S
-----------------------------------------------------
City | SEATAC
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98188-3064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-931-2400
-----------------------------------------------------
Fax | 206-260-3044
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17223 37TH LN S
-----------------------------------------------------
City | SEATAC
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98188-3064
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-931-2400
-----------------------------------------------------
Fax | 206-260-3044
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MR. ALEMSEGED G KIFLETSION
-----------------------------------------------------
Credential | NAC
-----------------------------------------------------
Telephone | 206-931-2400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------