1. Home
  2. Directory
  3. Washington
  4. Kent
  5. Custodial Care Facility
  6. NPI Profile

ACACIA GARDEN AFH LLC
NPI 1114773066
Custodial Care Facility - Adult Care Home in Kent, WA

Active since April 30, 2024CLIA 50D2338635 · Waiver
12023 SE 220TH PL, KENT, WA 98031(206) 566-2234 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Acacia Garden Afh Llc NPPES

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

ACACIA GARDEN AFH LLC (NPI 1114773066) is a healthcare organization registered as an adult care home in Kent, Washington and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Bellevue, and lists Faith Muroki, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1114773066
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameACACIA GARDEN AFH LLC
Location Address12023 SE 220TH PLKent, WA 98031-2391
Mailing Address12023 Se 220th PlKent, WA 98031-2391 · (206) 566-2234
Phone(206) 566-2234
Organization SubpartNo
Authorized OfficialFaith MurokiBusiness Owner · (206) 566-2234
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1114773066 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.
12023 SE 220TH PL, Kent, WA 98031
Open in Google Maps ↗

Secondary Practice Location 1

Location 16420 131st Ave SEBellevue, WA 98006-4030 · Phone (206) 566-2234

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 50D2338635

Acacia Garden Afh · Kent, WA
Active · expires Apr 4, 2028
CLIA Number50D2338635
Laboratory TypeAfh
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFaith Muroki
Laboratory Phone(206) 566-2234
Laboratory LocationAcacia Garden Afh12023 SE 220th Pl, Kent, WA 98031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Acacia Garden Afh LLC's NPI number?

The NPI number for Acacia Garden Afh LLC is 1114773066. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Acacia Garden Afh LLC located?

Acacia Garden Afh LLC is located at 12023 SE 220th Pl, Kent, WA 98031. The listed phone number is (206) 566-2234.

What is Acacia Garden Afh LLC's specialty?

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

Does Acacia Garden Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2338635) 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 Acacia Garden Afh LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.