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PICNIC POINT VILLA AFH LLC
NPI 1861337271
Custodial Care Facility in Edmonds, WA

Active since April 22, 2026CLIA 50D2301881 · Waiver
4627 PICNIC POINT RD, EDMONDS, WA 98026(425) 741-9575 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Picnic Point Villa Afh Llc NPPES

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

PICNIC POINT VILLA AFH LLC (NPI 1861337271) is a healthcare organization registered as a custodial care facility in Edmonds, Washington and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Besset Zenebe, Provider, as its authorized official.

NPPES Registry Identity

NPI1861337271
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NamePICNIC POINT VILLA AFH LLC
Location Address4627 PICNIC POINT RDEdmonds, WA 98026-3926
Mailing Address4627 Picnic Point RdEdmonds, WA 98026-3926 · (425) 741-9575
Phone(425) 741-9575
Organization SubpartNo
Authorized OfficialBesset ZenebeProvider · (425) 275-7181
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1861337271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
4627 PICNIC POINT RD, Edmonds, WA 98026
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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 50D2301881

Picnic Point Villa Afh LLC · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2301881
Laboratory TypeAfh
Certificate Effective DateApril 2, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBesset Zenebe
Laboratory Phone(425) 741-9575
Laboratory LocationPicnic Point Villa Afh LLC4627 Picnic Point Rd, Edmonds, WA 98026
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 Picnic Point Villa Afh LLC's NPI number?

The NPI number for Picnic Point Villa Afh LLC is 1861337271. It was assigned to this organization in the NPPES registry on April 22, 2026.

Where is Picnic Point Villa Afh LLC located?

Picnic Point Villa Afh LLC is located at 4627 Picnic Point Rd, Edmonds, WA 98026. The listed phone number is (425) 741-9575.

What is Picnic Point Villa Afh LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Picnic Point Villa Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2301881) 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 Picnic Point Villa Afh LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.