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KBDJ INC
NPI 1073201067
Custodial Care Facility - Adult Care Home in Everett, WA

Active since April 27, 2023CLIA 50D2292847 · Waiver
8831 CORBIN DR, EVERETT, WA 98204(425) 418-1732(425) 582-8161 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kbdj Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KBDJ INC (NPI 1073201067), doing business as Tendercare Living 11, is a healthcare organization registered as an adult care home in Everett, Washington and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Busola R Jimoh, Owner, as its authorized official.

NPPES Registry Identity

NPI1073201067
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKBDJ INC
Location Address8831 CORBIN DREverett, WA 98204-7149
Mailing Address15119 19th Pl WLynnwood, WA 98087-8764 · (425) 418-1732
Phone(425) 418-1732
Fax(425) 582-8161
Organization SubpartNo
Authorized OfficialBusola R JimohOwner · (425) 418-1732
Enumeration DateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1073201067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
8831 CORBIN DR, Everett, WA 98204
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Other Names 1

Doing Business AsTendercare Living 11

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2292847

Kbd-J, Inc Dba Tendecare Living II · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2292847
Laboratory TypeAfh
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBusola Jimoh
Laboratory Phone(425) 418-1732
Laboratory LocationKbd-J, Inc Dba Tendecare Living II8831 Corbin Dr, Everett, WA 98204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BUSOLA R JIMOH LPN
Licensed Practical Nurse
8831 CORBIN DR
EVERETT, WA 98204
Snohomish County (425) 418-1732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kbdj Inc's NPI number?

The NPI number for Kbdj Inc is 1073201067. It was assigned to this organization in the NPPES registry on April 27, 2023. The provider is doing business as Tendercare Living 11.

Where is Kbdj Inc located?

Kbdj Inc is located at 8831 Corbin Dr, Everett, WA 98204. The listed phone number is (425) 418-1732.

What is Kbdj Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Kbdj Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2292847) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kbdj Inc was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.