AVIAN ADULT FAMILY HOME LLC
NPI 1225647407
Assisted Living Facility in Graham, WA

Active since July 23, 2020CLIA 50D2260033 · Waiver
9427 194TH ST E, GRAHAM, WA 98338(253) 271-7383 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avian Adult Family Home Llc NPPES

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

AVIAN ADULT FAMILY HOME LLC (NPI 1225647407) is a healthcare organization registered as an assisted living facility in Graham, Washington and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dedan Njoroge, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1225647407
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVIAN ADULT FAMILY HOME LLC
Location Address9427 194TH ST EGraham, WA 98338-8198
Mailing Address9427 194th St EGraham, WA 98338-8198
Organization SubpartNo
Authorized OfficialDedan NjorogeOwner/ Provider · (253) 310-1206
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1225647407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
9427 194TH ST E, Graham, WA 98338

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 50D2260033

Avian Adult Family Home H · Graham, WA
Active · expires Apr 4, 2028
CLIA Number50D2260033
Laboratory TypeAfh
Certificate Effective DateMay 13, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrigitte Karoki
Laboratory Phone(253) 271-7383
Laboratory LocationAvian Adult Family Home H9427 194th St E, Graham, WA 98338
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
9427 194TH ST E
GRAHAM, WA 98338

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 Avian Adult Family Home LLC's NPI number?

The NPI number for Avian Adult Family Home LLC is 1225647407. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Avian Adult Family Home LLC located?

Avian Adult Family Home LLC is located at 9427 194th St E, Graham, WA 98338. The listed phone number is (253) 271-7383.

What is Avian Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Avian Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2260033) 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 Avian Adult Family Home LLC was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.