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Certified Care Adult Family Home LLC

NPI 1154207983ActiveOrganization· Registered Nurse· Spokane, WA

Registered Nurse in Spokane, Washington, registered in NPPES in August 2025. The authorized official on file is Samuel Udoma, Provider.

Overview

NPI1154207983
StatusActive
Entity typeOrganization
NPI issuedAug 15, 2025
Last updated in NPPESAug 15, 2025
Certified by providerAug 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse Primary163W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Registered Nurse providers in Spokane

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