PEACEFUL HAVEN LEGACY AFH LLC
NPI 1144151184
Custodial Care Facility - Adult Care Home in Everett, WA

Q: What is Peaceful Haven Legacy Afh LLC's NPI number?

The NPI number for Peaceful Haven Legacy Afh LLC is 1144151184. It was assigned to this organization in the NPPES registry on May 28, 2026.

Q: What is Peaceful Haven Legacy Afh LLC's specialty?

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

Active since May 28, 2026CLIA 50D2344843 · Waiver

807 116TH ST SW, EVERETT, WA 98204(206) 251-6779(231) 751-2099 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Peaceful Haven Legacy Afh Llc NPPES

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

PEACEFUL HAVEN LEGACY AFH LLC (NPI 1144151184) is a healthcare organization registered as an adult care home in Everett, Washington and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mesfin Getnet, Provider, as its authorized official.

NPPES Registry Identity

NPI1144151184

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NamePEACEFUL HAVEN LEGACY AFH LLC

Location Address807 116TH ST SWEverett, WA 98204-4849

Mailing Address807 116th St SwEverett, WA 98204-4849 · (206) 251-6779 · Fax (231) 751-2099

Phone(206) 251-6779

Fax(231) 751-2099

Organization SubpartNo

Authorized OfficialMesfin GetnetProvider · (206) 251-6779

Enumeration DateMay 28, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1144151184 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.

807 116TH ST SW, Everett, WA 98204

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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 50D2344843

Peaceful Haven Legacy Afh LLC · Everett, WA

Active · expires Apr 4, 2028

CLIA Number50D2344843

Laboratory TypeAfh

Certificate Effective DateJune 1, 2026

Certificate Expiration DateApril 4, 2028

Laboratory DirectorMesfin Getnet

Laboratory Phone(425) 374-7248

Laboratory LocationPeaceful Haven Legacy Afh LLC807 116th St SW, Everett, WA 98204

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 Peaceful Haven Legacy Afh LLC's NPI number?

The NPI number for Peaceful Haven Legacy Afh LLC is 1144151184. It was assigned to this organization in the NPPES registry on May 28, 2026.

Where is Peaceful Haven Legacy Afh LLC located?

Peaceful Haven Legacy Afh LLC is located at 807 116th St SW, Everett, WA 98204. The listed phone number is (206) 251-6779.

What is Peaceful Haven Legacy 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 Peaceful Haven Legacy Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2344843) 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 Peaceful Haven Legacy Afh LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.