1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Custodial Care Facility
  6. NPI Profile

AMAZING SAMAR ADULT FAMILY HOME LLC
NPI 1407664337
Custodial Care Facility - Adult Care Home in Everett, WA

Active since December 23, 2024CLIA 50D2302421 · Waiver
2314 LARLIN DR, EVERETT, WA 98203(425) 503-2432(425) 405-3622 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amazing Samar Adult Family Home Llc NPPES

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

AMAZING SAMAR ADULT FAMILY HOME LLC (NPI 1407664337) is a healthcare organization registered as an adult care home in Everett, Washington and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sammy Biwott, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1407664337
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameAMAZING SAMAR ADULT FAMILY HOME LLC
Location Address2314 LARLIN DREverett, WA 98203-6932
Mailing Address2314 Larlin DrEverett, WA 98203-6932 · (425) 503-2432 · Fax (425) 405-3622
Phone(425) 503-2432
Fax(425) 405-3622
Organization SubpartNo
Authorized OfficialSammy BiwottProvider/owner · (425) 503-2432
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1407664337 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.
2314 LARLIN DR, Everett, WA 98203
Open in Google Maps ↗

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 50D2302421

Amazing Samar Adult Family Home · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2302421
Laboratory TypeAfh
Certificate Effective DateApril 10, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSammy Biwott
Laboratory Phone(425) 503-2432
Laboratory LocationAmazing Samar Adult Family Home2314 Larlin Dr, Everett, WA 98204
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.

SAMMY BIWOTT CNA, HEALTHCARE MGT
Nurse's Aide
2314 LARLIN DR
EVERETT, WA 98203
Snohomish County (425) 503-2432

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 Amazing Samar Adult Family Home LLC's NPI number?

The NPI number for Amazing Samar Adult Family Home LLC is 1407664337. It was assigned to this organization in the NPPES registry on December 23, 2024.

Where is Amazing Samar Adult Family Home LLC located?

Amazing Samar Adult Family Home LLC is located at 2314 Larlin Dr, Everett, WA 98203. The listed phone number is (425) 503-2432.

What is Amazing Samar 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 Amazing Samar Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2302421) 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 Amazing Samar Adult Family Home LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.