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SERENE HEARTS ADULT FAMILY HOME LLC
NPI 1487485272
Custodial Care Facility - Adult Care Home in Lynnwood, WA

Active since August 12, 2024CLIA 50D2321760 · Waiver
19013 20TH PL W, LYNNWOOD, WA 98036(425) 408-3507(425) 658-9207 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Serene Hearts Adult Family Home Llc NPPES

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

SERENE HEARTS ADULT FAMILY HOME LLC (NPI 1487485272) is a healthcare organization registered as an adult care home in Lynnwood, Washington and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sirgut Tilahun Ashenaffi, Manager, as its authorized official.

NPPES Registry Identity

NPI1487485272
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSERENE HEARTS ADULT FAMILY HOME LLC
Location Address19013 20TH PL WLynnwood, WA 98036-4843
Mailing Address19013 20th Pl WLynnwood, WA 98036-4843 · (425) 408-3507 · Fax (425) 658-9207
Phone(425) 408-3507
Fax(425) 658-9207
Organization SubpartNo
Authorized OfficialSirgut Tilahun AshenaffiManager · (425) 408-3507
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1487485272 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.

19013 20TH PL W, Lynnwood, WA 98036
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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 50D2321760

Serene Hearts Adult Family Home LLC · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D2321760
Laboratory TypeAfh
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSirgut Ashenaffi
Laboratory Phone(425) 408-3507
Laboratory LocationSerene Hearts Adult Family Home LLC19013 20th Pl W, Lynnwood, WA 98036
CLIA data matches this NPI record on: Address Name Phone
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 Serene Hearts Adult Family Home LLC's NPI number?

The NPI number for Serene Hearts Adult Family Home LLC is 1487485272. It was assigned to this organization in the NPPES registry on August 12, 2024.

Where is Serene Hearts Adult Family Home LLC located?

Serene Hearts Adult Family Home LLC is located at 19013 20th Pl W, Lynnwood, WA 98036. The listed phone number is (425) 408-3507.

What is Serene Hearts 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 Serene Hearts Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2321760) 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 Serene Hearts Adult Family Home LLC was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.