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STAR LAKE ADULT FAMILY HOME
NPI 1932379534
Custodial Care Facility - Adult Care Home in Kent, WA

Active since March 11, 2008CLIA 50D2269256 · Waiver
3509 S 272ND ST, KENT, WA 98032(253) 859-3220(253) 854-0494 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Star Lake Adult Family Home NPPES

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

STAR LAKE ADULT FAMILY HOME (NPI 1932379534) is a healthcare organization registered as an adult care home in Kent, Washington and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Vasilica David, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1932379534
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSTAR LAKE ADULT FAMILY HOME
Location Address3509 S 272ND STKent, WA 98032-7062
Mailing Address3509 S 272nd StKent, WA 98032-7062 · (253) 859-3220 · Fax (253) 854-0494
Phone(253) 859-3220
Fax(253) 854-0494
Organization SubpartNo
Authorized OfficialVasilica DavidOwner/provider · (253) 859-3220
Enumeration DateMarch 11, 2008
Last NPPES UpdateJune 17, 2008
✔ NPI 1932379534 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
License✔ Licensed in WA · 750042
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.
3509 S 272ND ST, Kent, WA 98032
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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 50D2269256

Star Lake Adult Family Home · Kent, WA
Active · expires Apr 4, 2028
CLIA Number50D2269256
Laboratory TypeAfh
Certificate Effective DateSeptember 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVasilica David
Laboratory Phone(253) 859-3220
Laboratory LocationStar Lake Adult Family Home3509 S 272nd St, Kent, WA 98032
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.

MRS. VASILICA DAVID
Custodial Care Facility (Adult Care Home)
3509 S 272ND ST
KENT, WA 98032
King County (253) 859-3220

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 Star Lake Adult Family Home's NPI number?

The NPI number for Star Lake Adult Family Home is 1932379534. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Star Lake Adult Family Home located?

Star Lake Adult Family Home is located at 3509 S 272nd St, Kent, WA 98032. The listed phone number is (253) 859-3220.

What is Star Lake Adult Family Home's specialty?

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

Does Star Lake Adult Family Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2269256) 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 Star Lake Adult Family Home was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.