National Provider Identifier Database

AT HOME RESIDENTIAL ESF LLC
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

AT HOME RESIDENTIAL ESF LLC
4040 26TH AVE SW APT 501
SEATTLE, WA98106-1295
Phone: 509-263-4314
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for AT HOME RESIDENTIAL ESF LLC

NPI Number 1508576950
Legal business name
LBN
AT HOME RESIDENTIAL ESF LLC
Authorized official CHARLES KENNEDY - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/28/2022
Last updated 11/28/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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