Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Certified Care Adult Family Home LLC

Organization Registered Nurse · NPI 1154207983

Certified Care Adult Family Home LLC is a Registered Nurse in Spokane, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4111 W Rowan Ave
Spokane, WA 99205-7665
Phone: (863) 512-1570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X

Record details

NPI number1154207983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Udoma — Provider · (863) 512-1570
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address4111 W Rowan Ave, Spokane, WA 99205-7665

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