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97TH AVENUE ADULT FAMILY HOME LLC
NPI 1235971581
Custodial Care Facility - Adult Care Home in Lakewood, WA

Active since June 08, 2024CLIA 50D2318874 · Waiver
7303 97TH AVE SW, LAKEWOOD, WA 98498(253) 238-7203(253) 317-2981 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 97th Avenue Adult Family Home Llc NPPES

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

97TH AVENUE ADULT FAMILY HOME LLC (NPI 1235971581) is a healthcare organization registered as an adult care home in Lakewood, Washington and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Caroline Kilemi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235971581
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name97TH AVENUE ADULT FAMILY HOME LLC
Location Address7303 97TH AVE SWLakewood, WA 98498-3324
Mailing Address7303 97th Ave SwLakewood, WA 98498-3324 · Fax (253) 317-2981
Phone(253) 238-7203
Fax(253) 317-2981
Organization SubpartNo
Authorized OfficialCaroline KilemiCeo · (253) 238-7203
Enumeration DateJune 8, 2024
NPPES CertifiedJune 8, 2024
✔ NPI 1235971581 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.

7303 97TH AVE SW, Lakewood, WA 98498
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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 50D2318874

97th Avenue Adult Family Home · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2318874
Laboratory TypeAfh
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCaroline Kilemi
Laboratory Phone(253) 317-2957
Laboratory Location97th Avenue Adult Family Home7303 97th Ave SW, Lakewood, WA 98498
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 97th Avenue Adult Family Home LLC's NPI number?

The NPI number for 97th Avenue Adult Family Home LLC is 1235971581. It was assigned to this organization in the NPPES registry on June 8, 2024.

Where is 97th Avenue Adult Family Home LLC located?

97th Avenue Adult Family Home LLC is located at 7303 97th Ave SW, Lakewood, WA 98498. The listed phone number is (253) 238-7203.

What is 97th Avenue 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 97th Avenue Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2318874) 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 97th Avenue Adult Family Home LLC was last updated on June 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.