Organization Active NPI

Abode of Delight Adult Family Home LLC

  • Assisted Living Facility
  • Federal Way, WA
National Provider Identifier
1124959754
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ABODE OF DELIGHT ADULT FAMILY HOME LLC
Practice address
30649 11TH Ave S
Federal Way, WA 98003-4121
Phone
(702) 340-9857
NPI assigned
May 25, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mengistu Sima
Title
Provider
Phone
(702) 340-9857

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

30649 11TH Ave S
Federal Way, WA 98003-4121

Mailing address

30649 11TH Ave S
Federal Way, WA 98003-4121
Phone (702) 340-9857

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2026.

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1124959754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30649 11TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034121",
            "telephone_number": "702-340-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30649 11TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034121",
            "telephone_number": "702-340-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE OF DELIGHT ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "SIMA",
        "authorized_official_first_name": "MENGISTU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-340-9857"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.