Peaceful Haven Legacy Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PEACEFUL HAVEN LEGACY AFH LLC

Practice address

807 116TH St SW
Everett, WA 98204-4849

Phone

(206) 251-6779

Fax

(231) 751-2099

NPI assigned

May 28, 2026

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mesfin Getnet

Title

Provider

Phone

(206) 251-6779

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1144151184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 116TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044849",
            "telephone_number": "206-251-6779",
            "fax_number": "231-751-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 116TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044849",
            "telephone_number": "206-251-6779",
            "fax_number": "231-751-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL  HAVEN  LEGACY AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "GETNET",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-251-6779"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Pautz, MD
• Peter Dennis Pautz, LICSW, DCSW, BCD
• Olga Olegovna Pavlova-Rios
• Carrie S Payne, LMHC
• Kalynn Larisa Payne
• Daniel William Peacock, SOCIAL SCIENCE BA
• Brian James Peake
• Craig Eugene Pearce, D.M.D.
• Ruby D Pearce, MA
• Shauna Lee Pearce, LMP

• Adult Care Home Facility in Everett, WA
• Providers in Everett, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.