Resurrection Adult Family Home LLC
NPI 1205707486ActiveOrganization· Licensed Practical Nurse· Vancouver, WA
Licensed Practical Nurse in Vancouver, Washington, registered in NPPES in September 2025, part of Resurrection Adult Family Home LLC. The authorized official on file is Abebe M. Gobeze, Provider.
Overview
| NPI | 1205707486 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Resurrection Adult Family Home LLC |
| NPI issued | Sep 12, 2025 |
| Last updated in NPPES | Sep 12, 2025 |
| Certified by provider | Sep 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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