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: July 19, 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.Information from the official NPPES registry record, last updated May 10, 2024.

NPPES Registry Identity

NPI1447008719
Entity TypeOrganization
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. How NPI validation works

Primary Specialty

Custodial Care Facility · Adult Care Home

Taxonomy 311ZA0620X · Nursing & Custodial Care Facilities

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… Show more

15917 55TH PL W, Edmonds, WA 98026

Also on File with NPPES

Other Names1
Adult Family Home (Doing Business As)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2291948
Facility Type
Other - AFH
Certificate Effective Date
October 18, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
TEGBAR ASNAKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Alphaedmonds Adult Family Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ALPHAEDMONDS ADULT FAMILY HOME

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Registered Nurse
15917 55TH PL W
EDMONDS, WA 98026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447008719, enumerated as an "organization" on May 10, 2024.

The provider is located at 15917 55TH PL W EDMONDS, WA 98026 and the phone number is (425) 246-0207.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.