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

MARTHA LAKE ADULT FAMILY HOME
NPI 1609788892
Custodial Care Facility - Adult Care Home in Lynnwood, WA

Q: What is Martha Lake Adult Family Home's NPI number?

The NPI number for Martha Lake Adult Family Home is 1609788892. It was assigned to this organization in the NPPES registry on September 21, 2026.

Q: What is Martha Lake 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.

Active since September 21, 2026

809 167TH PL SW, LYNNWOOD, WA 98037(206) 708-5114(425) 835-8614 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Martha Lake Adult Family Home NPPES

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

MARTHA LAKE ADULT FAMILY HOME (NPI 1609788892) is a healthcare organization registered as an adult care home in Lynnwood, Washington and active in the NPI registry since September 2026. The organization lists Eskadar Gemetyllew, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1609788892

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameMARTHA LAKE ADULT FAMILY HOME

Location Address809 167TH PL SWLynnwood, WA 98037-8195

Mailing Address809 167th Pl SwLynnwood, WA 98037-8195 · (206) 708-5114 · Fax (425) 835-0614

Phone(206) 708-5114

Fax(425) 835-8614

Organization SubpartNo

Authorized OfficialEskadar GemetyllewProvider/owner · (206) 708-5114

Enumeration DateSeptember 21, 2026

NPPES CertifiedSeptember 21, 2026

✔ NPI 1609788892 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.

809 167TH PL SW, Lynnwood, WA 98037

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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 Martha Lake Adult Family Home's NPI number?

The NPI number for Martha Lake Adult Family Home is 1609788892. It was assigned to this organization in the NPPES registry on September 21, 2026.

Where is Martha Lake Adult Family Home located?

Martha Lake Adult Family Home is located at 809 167th Pl SW, Lynnwood, WA 98037. The listed phone number is (206) 708-5114.

What is Martha Lake 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.

When was this NPI record last updated?

The NPPES record for Martha Lake Adult Family Home was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.