SOUTH SOUND ADULT FAMILY HOME LLC
NPI 1184571150
Custodial Care Facility - Adult Care Home in Lacey, WA
About South Sound Adult Family Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH SOUND ADULT FAMILY HOME LLC (NPI 1184571150) is a healthcare organization registered as an adult care home in Lacey, Washington and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dandi Natol Atomsa, Afh Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 50D2331283
South Sound Adult Family Home LLC · Lacey, WAFrequently 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 South Sound Adult Family Home LLC's NPI number?
The NPI number for South Sound Adult Family Home LLC is 1184571150. It was assigned to this organization in the NPPES registry on March 11, 2026.
Where is South Sound Adult Family Home LLC located?
South Sound Adult Family Home LLC is located at 4425 24th Ave SE # Wa98503, Lacey, WA 98503. The listed phone number is (612) 986-0347.
What is South Sound Adult Family Home LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does South Sound Adult Family Home LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2331283) 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 South Sound Adult Family Home LLC was last updated on March 11, 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.
# South Sound Adult Family Home Llc · NPI 1184571150
Adult Care Home organization in Lacey, Washington. Organization record, active in the CMS NPPES registry since March 11, 2026.
## Identity
- **NPI:** 1184571150 (Entity type: Organization)
- **Enumerated:** March 11, 2026
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Organization subpart:** No
- **Authorized official:** Dandi Atomsa, AFH PROVIDER
## Practice location
- **Address:** 4425 24TH AVE SE # WA98503, Lacey, WA 98503-3233
- **Phone:** (612) 986-0347
## Record status
- **NPPES last updated:** March 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184571150) · Data from the CMS NPPES public registry.