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ELDER VILLAGE RENTON HIGHLANDS AFH, LLC
NPI 1851155907
Custodial Care Facility - Adult Care Home in Renton, WA

Active since February 09, 2024CLIA 50D2304290 · Waiver
603 NILE AVE NE, RENTON, WA 98059(206) 886-1611 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Feb 9, 2024 (2 updates tracked since 2024).

About Elder Village Renton Highlands Afh, Llc NPPES

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

ELDER VILLAGE RENTON HIGHLANDS AFH, LLC (NPI 1851155907), doing business as Elder Village Renton Highlands Afh, is a healthcare organization registered as an adult care home in Renton, Washington and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Bernice Rebutiaco, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851155907
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameELDER VILLAGE RENTON HIGHLANDS AFH, LLC
Location Address603 NILE AVE NERenton, WA 98059-4980
Mailing Address603 Nile Ave NeRenton, WA 98059-4980 · (206) 653-6477
Phone(206) 886-1611
Organization SubpartNo
Authorized OfficialBernice RebutiacoAdministrator · (206) 653-6477
Enumeration DateFebruary 9, 2024
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1851155907 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.
603 NILE AVE NE, Renton, WA 98059
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Other Names 1

Doing Business AsElder Village Renton Highlands Afh

Other Identifiers 1

Medicaid1477166031WA

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 50D2304290

Elder Village Renton Highlands Afh · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D2304290
Laboratory TypeAfh
Certificate Effective DateMay 10, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBernice Francesca W. Rebutiaco
Laboratory Phone(425) 572-6111
Laboratory LocationElder Village Renton Highlands Afh603 Nile Ave NE, Renton, WA 98059
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 Elder Village Renton Highlands Afh, LLC's NPI number?

The NPI number for Elder Village Renton Highlands Afh, LLC is 1851155907. It was assigned to this organization in the NPPES registry on February 9, 2024. The provider is doing business as Elder Village Renton Highlands AFH.

Where is Elder Village Renton Highlands Afh, LLC located?

Elder Village Renton Highlands Afh, LLC is located at 603 Nile Ave NE, Renton, WA 98059. The listed phone number is (206) 886-1611.

What is Elder Village Renton Highlands Afh, LLC's specialty?

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

Does Elder Village Renton Highlands Afh, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2304290) 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 Elder Village Renton Highlands Afh, LLC was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.