Provider Demographics
NPI:1639041288
Name:NATIONWIDE ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:NATIONWIDE ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY ADJEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJOWERH-NORTEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-648-9329
Mailing Address - Street 1:4708 N BOLIVAR CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216
Mailing Address - Country:US
Mailing Address - Phone:509-960-7400
Mailing Address - Fax:509-960-7400
Practice Address - Street 1:4708 N BOLIVAR CT
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216
Practice Address - Country:US
Practice Address - Phone:509-960-7400
Practice Address - Fax:509-960-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility