Provider Demographics
NPI:1942015854
Name:ALEMAYEHU, ASTER ABRAHA (ADULT FAMILY HOME)
Entity type:Individual
Prefix:
First Name:ASTER
Middle Name:ABRAHA
Last Name:ALEMAYEHU
Suffix:
Gender:F
Credentials:ADULT FAMILY HOME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15700 58TH PL W
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-4609
Mailing Address - Country:US
Mailing Address - Phone:206-724-9609
Mailing Address - Fax:
Practice Address - Street 1:15700 58TH PL W
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-4609
Practice Address - Country:US
Practice Address - Phone:206-724-9609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60127998376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide