BARAKA-BLESS ADULT FAMILY HOME LLC
NPI 1144964933
Registered Nurse in Lynnwood, WA

Active since April 26, 2022CLIA 50D2292602 · Waiver
7328 202ND ST SW, LYNNWOOD, WA 98036(425) 640-3758(425) 678-8391 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Baraka-bless Adult Family Home Llc NPPES

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

BARAKA-BLESS ADULT FAMILY HOME LLC (NPI 1144964933) is a healthcare organization registered as a registered nurse in Lynnwood, Washington and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Iman Warsame Bot, Owner, as its authorized official.

NPPES Registry Identity

NPI1144964933
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameBARAKA-BLESS ADULT FAMILY HOME LLC
Location Address7328 202ND ST SWLynnwood, WA 98036-5820
Mailing Address3103 S Holly StSeattle, WA 98108-3785 · (206) 458-4767 · Fax (425) 678-8391
Fax(425) 678-8391
Organization SubpartNo
Authorized OfficialIman Warsame BotOwner · (425) 640-3758
Enumeration DateApril 26, 2022
NPPES CertifiedApril 26, 2022
NPI 1144964933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
7328 202ND ST SW, Lynnwood, WA 98036

Other Names 1

Other NameBaraka-bless Adulty Family Home

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 50D2292602

Baraka-Bless Adult Family Home LLC · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D2292602
Laboratory TypeAfh
Certificate Effective DateOctober 26, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorIman Bot
Laboratory Phone(425) 640-3758
Laboratory LocationBaraka-Bless Adult Family Home LLC7328 202nd St SW, Lynnwood, WA 98036
CLIA data matches this NPI record on: Address Name 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.

Registered Nurse
7328 202ND ST SW
LYNNWOOD, WA 98036

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 Baraka-Bless Adult Family Home LLC's NPI number?

The NPI number for Baraka-Bless Adult Family Home LLC is 1144964933. It was assigned to this organization in the NPPES registry on April 26, 2022. The provider is also known as Baraka-Bless Adulty family home.

Where is Baraka-Bless Adult Family Home LLC located?

Baraka-Bless Adult Family Home LLC is located at 7328 202nd St SW, Lynnwood, WA 98036. The listed phone number is (425) 640-3758.

What is Baraka-Bless Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Baraka-Bless Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2292602) 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 Baraka-Bless Adult Family Home LLC was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.