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4 ELEMENTS AFH, LLC
NPI 1427856897
Custodial Care Facility - Adult Care Home in Everett, WA

Active since March 03, 2025CLIA 50D2302423 · Waiver
9111 9TH AVE SE, EVERETT, WA 98208(206) 778-9199 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 4 Elements Afh, Llc NPPES

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

4 ELEMENTS AFH, LLC (NPI 1427856897) is a healthcare organization registered as an adult care home in Everett, Washington and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Ian Wallace, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1427856897
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name4 ELEMENTS AFH, LLC
Location Address9111 9TH AVE SEEverett, WA 98208-3316
Mailing Address218 Main St # 308Kirkland, WA 98033-6108 · (206) 779-9199 · Fax (425) 265-9549
Phone(206) 778-9199
Organization SubpartNo
Authorized OfficialIan WallaceProvider/owner · (206) 778-9199
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1427856897 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.
9111 9TH AVE SE, Everett, WA 98208
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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 50D2302423

4 Elements Afh · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2302423
Laboratory TypeAfh
Certificate Effective DateApril 10, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorIan Wallace
Laboratory Phone(425) 789-1245
Laboratory Location4 Elements Afh9111 9th Ave SE, Everett, WA 98208
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 4 Elements Afh, LLC's NPI number?

The NPI number for 4 Elements Afh, LLC is 1427856897. It was assigned to this organization in the NPPES registry on March 3, 2025.

Where is 4 Elements Afh, LLC located?

4 Elements Afh, LLC is located at 9111 9th Ave SE, Everett, WA 98208. The listed phone number is (206) 778-9199.

What is 4 Elements Afh, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does 4 Elements Afh, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2302423) 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 4 Elements Afh, LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.