# NEW ERA ADULT FAMILY HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genet Tadesse, New Era Adult Family Home LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295203495
- **Authorized official:** GENET TADESSE (PROVIDER)
- **Authorized official phone:** (206) 228-7599

## Contact information

- **Practice address:** 428 218TH ST SW, BOTHELL, WA 98021-8155
- **Practice address phone:** (206) 228-7599
- **Mailing address:** 428 218TH ST SW, BOTHELL, WA 98021-8155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251T00000X | PACE Provider Organization | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2018
- **Last updated:** 11/06/2018