SHALOM ADULT FAMILY HOME LLC
NPI 1396576252
Custodial Care Facility - Adult Care Home in Edmonds, WA

Q: What is Shalom Adult Family Home LLC's NPI number?

The NPI number for Shalom Adult Family Home LLC is 1396576252. It was assigned to this organization in the NPPES registry on August 12, 2024.

Q: What is Shalom 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.

Active since August 12, 2024

14522 52ND PL W, EDMONDS, WA 98026(425) 408-3507(425) 658-9207 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shalom Adult Family Home Llc NPPES

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

SHALOM ADULT FAMILY HOME LLC (NPI 1396576252) is a healthcare organization registered as an adult care home in Edmonds, Washington and active in the NPI registry since August 2024. The organization lists Sirgut Tilahun Ashenaffi, Manager, as its authorized official.

NPPES Registry Identity

NPI1396576252

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSHALOM ADULT FAMILY HOME LLC

Location Address14522 52ND PL WEdmonds, WA 98026-3809

Mailing Address14522 52nd Pl WEdmonds, WA 98026-3809 · (425) 408-3507 · Fax (425) 658-9207

Phone(425) 408-3507

Fax(425) 658-9207

Organization SubpartNo

Authorized OfficialSirgut Tilahun AshenaffiManager · (425) 408-3507

Enumeration DateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1396576252 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.

14522 52ND PL W, Edmonds, WA 98026

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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 Shalom Adult Family Home LLC's NPI number?

The NPI number for Shalom Adult Family Home LLC is 1396576252. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Shalom Adult Family Home LLC located?

Shalom Adult Family Home LLC is located at 14522 52nd Pl W, Edmonds, WA 98026. The listed phone number is (425) 408-3507.

What is Shalom 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.

When was this NPI record last updated?

The NPPES record for Shalom Adult Family Home LLC was last updated on August 12, 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.