1ST MICHAEL ADULT FAMILY HOME, LLC
NPI 1710815063
Custodial Care Facility - Adult Care Home in Everett, WA

Active since May 08, 2026CLIA 50D2301554 · Waiver
12710 20TH PL W, EVERETT, WA 98204(206) 349-2285(425) 484-8001 Get Directions Write a Review

NPPES record last updated: May 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2026, May 8, 2026 (2 updates tracked since 2026).

About 1st Michael Adult Family Home, Llc NPPES

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

1ST MICHAEL ADULT FAMILY HOME, LLC (NPI 1710815063) is a healthcare organization registered as an adult care home in Everett, Washington and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Tesfaye B Norahun, Owner, as its authorized official.

NPPES Registry Identity

NPI1710815063
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name1ST MICHAEL ADULT FAMILY HOME, LLC
Location Address12710 20TH PL WEverett, WA 98204-5583
Mailing Address12710 20th Pl WEverett, WA 98204-5583
Fax(425) 484-8001
Organization SubpartNo
Authorized OfficialTesfaye B NorahunOwner · (206) 349-2285
Enumeration DateMay 8, 2026
Last NPPES UpdateMay 16, 20262 updates tracked since enumeration
NPPES CertifiedMay 16, 2026
NPI 1710815063 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.
12710 20TH PL W, Everett, WA 98204

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 50D2301554

1st Michael Afh · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2301554
Laboratory TypeAfh
Certificate Effective DateMarch 27, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTesfaye Norahun
Laboratory Phone(206) 349-2285
Laboratory Location1st Michael Afh12710 20th Pl W, Everett, WA 98204
CLIA data matches this NPI record on: Address 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.

Nurse's Aide
12710 20TH PL W
EVERETT, WA 98204

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 1st Michael Adult Family Home, LLC's NPI number?

The NPI number for 1st Michael Adult Family Home, LLC is 1710815063. It was assigned to this organization in the NPPES registry on May 8, 2026.

Where is 1st Michael Adult Family Home, LLC located?

1st Michael Adult Family Home, LLC is located at 12710 20th Pl W, Everett, WA 98204. The listed phone number is (206) 349-2285.

What is 1st Michael 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 1st Michael Adult Family Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2301554) 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 1st Michael Adult Family Home, LLC was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.