RESIDENCE XII – Substance Abuse Rehabilitation Facility, NPI 1942220868

RESIDENCE XII is a healthcare provider. based in Kirkland, Washington. specializing in Substance Abuse Rehabilitation Facility. The organization holds a License No. 17005200 (WA). The NPI Number for RESIDENCE XII is 1942220868

Main info

Organization
Name
RESIDENCE XII
NPI
1942220868
Phone
(425) 823-8844
Address
12029 113TH AVE NE
Authorized Official
AMBER KILWINE EXECUTIVE ASSISTANT
Enumeration Date
21 July 2006
Last Update Date
28 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RESIDENCE XII

  • Residence XII, 12029, 113th Avenue Northeast, Juanita, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980346901

    Phone: (425) 823-8844

    Fax: (425) 820-2371

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98034)

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Reviews

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Frequently asked questions

How is RESIDENCE XII identified in CMS data?
CMS-hosted NPPES data lists RESIDENCE XII with NPI 1942220868.
Does CMS list RESIDENCE XII as active?
Yes — RESIDENCE XII is active in the NPI listing used on this page.
What is RESIDENCE XII's specialty?
The listing groups RESIDENCE XII with Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Where should I expect RESIDENCE XII on a map?
Expect Kirkland, Washington as a primary anchor for RESIDENCE XII unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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