Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHINE LIFE ADULT FAMILY HOME LLC
NPI 1437053097
Custodial Care Facility - Adult Care Home in Mountlake Terrace, WA

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

The NPI number for Shine Life Adult Family Home LLC is 1437053097. It was assigned to this organization in the NPPES registry on October 6, 2026.

Q: What is Shine Life 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 October 06, 2026

21823 58TH AVE W, MOUNTLAKE TERRACE, WA 98043(425) 774-7073(425) 775-1070 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Shine Life Adult Family Home Llc NPPES

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

SHINE LIFE ADULT FAMILY HOME LLC (NPI 1437053097) is a healthcare organization registered as an adult care home in Mountlake Terrace, Washington and active in the NPI registry since October 2026. The organization lists Daniel Mamo Abebe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437053097

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSHINE LIFE ADULT FAMILY HOME LLC

Location Address21823 58TH AVE WMountlake Terrace, WA 98043-3129

Mailing Address21823 58th Ave WMountlake Terrace, WA 98043-3129 · (425) 774-7073 · Fax (425) 775-1070

Phone(425) 774-7073

Fax(425) 775-1070

Organization SubpartNo

Authorized OfficialDaniel Mamo AbebeAdministrator · (206) 859-0065

Enumeration DateOctober 6, 2026

NPPES CertifiedOctober 6, 2026

✔ NPI 1437053097 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.

21823 58TH AVE W, Mountlake Terrace, WA 98043

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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 Shine Life Adult Family Home LLC's NPI number?

The NPI number for Shine Life Adult Family Home LLC is 1437053097. It was assigned to this organization in the NPPES registry on October 6, 2026.

Where is Shine Life Adult Family Home LLC located?

Shine Life Adult Family Home LLC is located at 21823 58th Ave W, Mountlake Terrace, WA 98043. The listed phone number is (425) 774-7073.

What is Shine Life 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 Shine Life Adult Family Home LLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.