ALPHAEDMONDS ADULT FAMILY HOME
NPI 1447008719
Custodial Care Facility - Adult Care Home in Edmonds, WA

Active since May 10, 2024CLIA 50D2291948 · Waiver
15917 55TH PL W, EDMONDS, WA 98026(425) 246-0207 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alphaedmonds Adult Family Home NPPES

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

ALPHAEDMONDS ADULT FAMILY HOME (NPI 1447008719), doing business as Adult Family Home, is a healthcare organization registered as an adult care home in Edmonds, Washington and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Tegbar Addisu Asnake, Owner, as its authorized official.

NPPES Registry Identity

NPI1447008719
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameALPHAEDMONDS ADULT FAMILY HOME
Location Address15917 55TH PL WEdmonds, WA 98026-4747
Mailing Address15917 55th Pl WEdmonds, WA 98026-4747 · (425) 246-0207
Organization SubpartNo
Authorized OfficialTegbar Addisu AsnakeOwner · (425) 246-0207
Enumeration DateMay 10, 2024
NPPES CertifiedMay 10, 2024
NPI 1447008719 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.
15917 55TH PL W, Edmonds, WA 98026

Other Names 1

Doing Business AsAdult Family Home

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 50D2291948

Alpha Edmonds Adult Family Home · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2291948
Laboratory TypeAfh
Certificate Effective DateOctober 18, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTegbar Asnake
Laboratory Phone(425) 246-0207
Laboratory LocationAlpha Edmonds Adult Family Home15917 55th Pl W, Edmonds, WA 98026
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.

Registered Nurse
15917 55TH PL W
EDMONDS, WA 98026

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 Alphaedmonds Adult Family Home's NPI number?

The NPI number for Alphaedmonds Adult Family Home is 1447008719. It was assigned to this organization in the NPPES registry on May 10, 2024. The provider is doing business as Adult Family Home.

Where is Alphaedmonds Adult Family Home located?

Alphaedmonds Adult Family Home is located at 15917 55th Pl W, Edmonds, WA 98026. The listed phone number is (425) 246-0207.

What is Alphaedmonds Adult Family Home's specialty?

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

Does Alphaedmonds Adult Family Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2291948) 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 Alphaedmonds Adult Family Home was last updated on May 10, 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.