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SIX STAR ELDER CARE LLC
NPI 1639955768
Custodial Care Facility - Adult Care Home in Federal Way, WA

Active since September 05, 2023CLIA 50D2320890 · Waiver
31801 8TH AVE S, FEDERAL WAY, WA 98003(206) 351-3464(206) 429-2217 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Six Star Elder Care Llc NPPES

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

SIX STAR ELDER CARE LLC (NPI 1639955768) is a healthcare organization registered as an adult care home in Federal Way, Washington and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dina Grib, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1639955768
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSIX STAR ELDER CARE LLC
Location Address31801 8TH AVE SFederal Way, WA 98003-5324
Mailing Address31408 8th Ave SFederal Way, WA 98003-5302 · (206) 351-3464 · Fax (206) 429-2217
Phone(206) 351-3464
Fax(206) 429-2217
Organization SubpartNo
Authorized OfficialDina GribOwner/provider · (206) 351-3464
Enumeration DateSeptember 5, 2023
NPPES CertifiedSeptember 5, 2023
✔ NPI 1639955768 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.
31801 8TH AVE S, Federal Way, WA 98003
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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 50D2320890

Six Star Elder Care · Federal Way, WA
Active · expires Apr 4, 2028
CLIA Number50D2320890
Laboratory TypeAfh
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDina Grib
Laboratory Phone(206) 351-3464
Laboratory LocationSix Star Elder Care31801 8th Ave S, Federal Way, WA 98003
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 Six Star Elder Care LLC's NPI number?

The NPI number for Six Star Elder Care LLC is 1639955768. It was assigned to this organization in the NPPES registry on September 5, 2023.

Where is Six Star Elder Care LLC located?

Six Star Elder Care LLC is located at 31801 8th Ave S, Federal Way, WA 98003. The listed phone number is (206) 351-3464.

What is Six Star Elder Care LLC's specialty?

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

Does Six Star Elder Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2320890) 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 Six Star Elder Care LLC was last updated on September 5, 2023. 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.