SHALOM SPRINGS ADULT FAMILY HOME INC.
NPI 1720775455
In Home Supportive Care in Tacoma, WA

Q: What is Shalom Springs Adult Family Home Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since April 21, 2023CLIA 50D2304966 · Waiver

909 138TH ST E, TACOMA, WA 98445(678) 431-8085(253) 267-1453 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shalom Springs Adult Family Home Inc. NPPES

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

SHALOM SPRINGS ADULT FAMILY HOME INC. (NPI 1720775455) is a healthcare organization registered as an in home supportive care in Tacoma, Washington and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dickson Kimandi Mwirabua, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1720775455

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameSHALOM SPRINGS ADULT FAMILY HOME INC.

Location Address909 138TH ST ETacoma, WA 98445-2778

Mailing Address909 138th St ETacoma, WA 98445-2778 · (678) 431-8085

Phone(678) 431-8085

Fax(253) 267-1453

Organization SubpartNo

Authorized OfficialDickson Kimandi MwirabuaRegistered Agent · (678) 431-8085

Enumeration DateApril 21, 2023

NPPES CertifiedApril 21, 2023

✔ NPI 1720775455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

909 138TH ST E, Tacoma, WA 98445

Open in Google Maps ↗

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 50D2304966

Shalom Springs Adult Family Home Inc · Tacoma, WA

Active · expires Apr 4, 2028

CLIA Number50D2304966

Laboratory TypeAfh

Certificate Effective DateMay 21, 2024

Certificate Expiration DateApril 4, 2028

Laboratory DirectorDiskson Mwirabua

Laboratory Phone(253) 267-1453

Laboratory LocationShalom Springs Adult Family Home Inc909 138th St E, Tacoma, WA 98445

CLIA data matches this NPI record on: Address Name

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 Shalom Springs Adult Family Home Inc.'s NPI number?

The NPI number for Shalom Springs Adult Family Home Inc. is 1720775455. It was assigned to this organization in the NPPES registry on April 21, 2023.

Where is Shalom Springs Adult Family Home Inc. located?

Shalom Springs Adult Family Home Inc. is located at 909 138th St E, Tacoma, WA 98445. The listed phone number is (678) 431-8085.

What is Shalom Springs Adult Family Home Inc.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Shalom Springs Adult Family Home Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2304966) 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 Shalom Springs Adult Family Home Inc. was last updated on April 21, 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.