CARE OF LIFE HOMECARE SERVICES LLC
NPI 1689371163
Custodial Care Facility - Adult Care Home in Tacoma, WA

Active since February 14, 2023CLIA 50D2305456 · Waiver
1211 S TRAFTON ST, TACOMA, WA 98405(253) 267-1044 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Care Of Life Homecare Services Llc NPPES

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

CARE OF LIFE HOMECARE SERVICES LLC (NPI 1689371163) is a healthcare organization registered as an adult care home in Tacoma, Washington and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jamila Kadir, Owner, as its authorized official.

NPPES Registry Identity

NPI1689371163
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCARE OF LIFE HOMECARE SERVICES LLC
Location Address1211 S TRAFTON STTacoma, WA 98405-2965
Mailing Address1211 S Trafton StTacoma, WA 98405-2965 · (253) 267-1044 · Fax (253) 267-1056
Organization SubpartNo
Authorized OfficialJamila KadirOwner · (206) 334-1647
Enumeration DateFebruary 14, 2023
NPPES CertifiedFebruary 14, 2023
NPI 1689371163 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.
1211 S TRAFTON ST, Tacoma, WA 98405

Other Identifiers 1

Medicaid2228709WA

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 50D2305456

Care Of Life Homecare Services LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2305456
Laboratory TypeAfh
Certificate Effective DateMay 31, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJamila Kadir
Laboratory Phone(206) 334-1647
Laboratory LocationCare Of Life Homecare Services LLC1211 S Trafton St, Tacoma, WA 98405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
1211 S TRAFTON ST
TACOMA, WA 98405

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 Care Of Life Homecare Services LLC's NPI number?

The NPI number for Care Of Life Homecare Services LLC is 1689371163. It was assigned to this organization in the NPPES registry on February 14, 2023.

Where is Care Of Life Homecare Services LLC located?

Care Of Life Homecare Services LLC is located at 1211 S Trafton St, Tacoma, WA 98405. The listed phone number is (253) 267-1044.

What is Care Of Life Homecare Services LLC's specialty?

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

Does Care Of Life Homecare Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2305456) 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 Care Of Life Homecare Services LLC was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.