Organization Active NPI

Bluebell Adult Family Home

  • Adult Care Home Facility
  • Lynnwood, WA
National Provider Identifier
1154250777
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BLUEBELL ADULT FAMILY HOME
Practice address
16803 41St PL W
Lynnwood, WA 98037-6907
Phone
(425) 678-6946
Fax
(425) 678-6949
NPI assigned
May 18, 2026
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Abel Y Mender
Title
Provider/ Caregiver
Phone
(206) 291-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

16803 41St PL W
Lynnwood, WA 98037-6907

Mailing address

4309 225TH St SW
Mountlake Terrace, WA 98043-4546
Phone (425) 678-6949

National Provider Directory

National Provider Directory

Locations

4309 225th St SW
Mountlake Terrace, WA 98043

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1154250777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 225TH ST SW",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434546",
            "telephone_number": "425-678-6949",
            "fax_number": "425-678-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16803 41ST PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980376907",
            "telephone_number": "425-678-6946",
            "fax_number": "425-678-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBELL ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MENDER",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PROVIDER/ CAREGIVER",
        "authorized_official_telephone_number": "206-291-0841"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.