=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902749906
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A SOOS CARE HOME LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2026
-----------------------------------------------------
Last Update Date | 04/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26102 147TH PL SE
-----------------------------------------------------
City | KENT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98042-8144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-421-2212
-----------------------------------------------------
Fax | 253-322-0499
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26102 147TH PL SE
-----------------------------------------------------
City | KENT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98042-8144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 253-421-2212
-----------------------------------------------------
Fax | 253-322-0499
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANJU CHHETRI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 404-914-7460
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------