Provider Demographics
NPI:1225883267
Name:AATMA ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:AATMA ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOYTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-696-4375
Mailing Address - Street 1:2979 220TH PL SW
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4209
Mailing Address - Country:US
Mailing Address - Phone:206-696-4375
Mailing Address - Fax:
Practice Address - Street 1:14526 6TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-6944
Practice Address - Country:US
Practice Address - Phone:206-367-7771
Practice Address - Fax:206-367-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home