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GOOD LIVING ADULT FAMILY HOME LLC
NPI 1124703657
Home Health in Renton, WA

Active since June 21, 2023CLIA 50D2294219 · Waiver
16054 123RD AVE SE, RENTON, WA 98058(425) 207-8685(425) 207-8685 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Living Adult Family Home Llc NPPES

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

GOOD LIVING ADULT FAMILY HOME LLC (NPI 1124703657) is a healthcare organization registered as a home health in Renton, Washington and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Grace Waiharo, Provider, as its authorized official.

NPPES Registry Identity

NPI1124703657
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGOOD LIVING ADULT FAMILY HOME LLC
Location Address16054 123RD AVE SERenton, WA 98058-5539
Mailing Address16054 123rd Ave SeRenton, WA 98058-5539 · (425) 207-8685 · Fax (425) 207-8685
Phone(425) 207-8685
Fax(425) 207-8685
Organization SubpartNo
Authorized OfficialGrace WaiharoProvider · (425) 207-8685
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1124703657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
16054 123RD AVE SE, Renton, WA 98058
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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 50D2294219

Good Living Adult Family Home LLC · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D2294219
Laboratory TypeAfh
Certificate Effective DateNovember 20, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGrace Waiharo
Laboratory Phone(347) 348-2409
Laboratory LocationGood Living Adult Family Home LLC16054 123rd Ave SE, Renton, WA 98058
CLIA data matches this NPI record on: Address Name
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 Good Living Adult Family Home LLC's NPI number?

The NPI number for Good Living Adult Family Home LLC is 1124703657. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Good Living Adult Family Home LLC located?

Good Living Adult Family Home LLC is located at 16054 123rd Ave SE, Renton, WA 98058. The listed phone number is (425) 207-8685.

What is Good Living Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Good Living Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2294219) 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 Good Living Adult Family Home LLC was last updated on June 21, 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.