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AVENUE HOME LLC
NPI 1225894165
Custodial Care Facility - Adult Care Home in Puyallup, WA

Active since February 27, 2024CLIA 50D2313033 · Waiver
719 23RD AVE SE, PUYALLUP, WA 98372(703) 861-7446 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avenue Home Llc NPPES

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

AVENUE HOME LLC (NPI 1225894165), doing business as Avenue Home, is a healthcare organization registered as an adult care home in Puyallup, Washington and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Esther Ndungu Macharia, Resident Care Manager, as its authorized official.

NPPES Registry Identity

NPI1225894165
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameAVENUE HOME LLC
Location Address719 23RD AVE SEPuyallup, WA 98372-4662
Mailing Address719 23rd Ave SePuyallup, WA 98372-4662 · (703) 861-7446
Phone(703) 861-7446
Organization SubpartNo
Authorized OfficialEsther Ndungu MachariaResident Care Manager · (253) 348-6004
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1225894165 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.
719 23RD AVE SE, Puyallup, WA 98372
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Other Names 1

Doing Business AsAvenue Home

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 50D2313033

Avenue Home LLC · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2313033
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEsther N. Macharia
Laboratory Phone(253) 348-6004
Laboratory LocationAvenue Home LLC719 23rd Ave SE, Puyallup, WA 98372
CLIA data matches this NPI record on: Address Name Phone
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 Avenue Home LLC's NPI number?

The NPI number for Avenue Home LLC is 1225894165. It was assigned to this organization in the NPPES registry on February 27, 2024. The provider is doing business as Avenue Home.

Where is Avenue Home LLC located?

Avenue Home LLC is located at 719 23rd Ave SE, Puyallup, WA 98372. The listed phone number is (703) 861-7446.

What is Avenue 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 Avenue Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2313033) 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 Avenue Home LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.