MOUNTLAKE TERRACE AFH 1 LLC
NPI 1497646939
Assisted Living Facility in Mountlake Terrace, WA
About Mountlake Terrace Afh 1 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTLAKE TERRACE AFH 1 LLC (NPI 1497646939), doing business as Mountlake Terrace Afh Llc, is a healthcare organization registered as an assisted living facility in Mountlake Terrace, Washington and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Mountlake Terrace, and lists Tsehay Ghebresilassie, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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 50D2342686
Mountake Terrace Afh 1 LLC · Mountlake Terrace, WAFrequently 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 Mountlake Terrace Afh 1 LLC's NPI number?
The NPI number for Mountlake Terrace Afh 1 LLC is 1497646939. It was assigned to this organization in the NPPES registry on July 12, 2025. The provider was formerly known as Mountlake Terrace AFH LLC.
Where is Mountlake Terrace Afh 1 LLC located?
Mountlake Terrace Afh 1 LLC is located at 23108 54th Ave W, Mountlake Terrace, WA 98043. The listed phone number is (425) 670-2867.
What is Mountlake Terrace Afh 1 LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Mountlake Terrace Afh 1 LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2342686) 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 Mountlake Terrace Afh 1 LLC was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mountlake Terrace Afh 1 Llc · NPI 1497646939
Assisted Living Facility organization in Mountlake Terrace, Washington. Organization record, active in the CMS NPPES registry since July 12, 2025.
## Identity
- **NPI:** 1497646939 (Entity type: Organization)
- **Enumerated:** July 12, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Mountlake Terrace AFH LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Tsehay Ghebresilassie, PROVIDER
## Practice location
- **Address:** 23108 54TH AVE W, Mountlake Terrace, WA 98043-4708
- **Phone:** (425) 670-2867
## Record status
- **NPPES last updated:** July 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497646939) · Data from the CMS NPPES public registry.