South Sound Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SOUTH SOUND ADULT FAMILY HOME LLC

Practice address

4425 24TH Ave SE # Wa98503
Lacey, WA 98503-3233

Phone

(612) 986-0347

NPI assigned

Mar 11, 2026

Last updated

Mar 11, 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

Mr. Dandi Natol Atomsa, ATOMSA

Title

Afh Provider

Phone

(612) 986-0347

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1184571150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 24TH AVE SE # WA98503",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033233",
            "telephone_number": "612-986-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 24TH AVE SE # WA98503",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033233",
            "telephone_number": "612-986-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "ATOMSA",
        "authorized_official_first_name": "DANDI",
        "authorized_official_middle_name": "NATOL",
        "authorized_official_title_or_position": "AFH PROVIDER",
        "authorized_official_telephone_number": "612-986-0347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATOMSA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Choice Health Center, P.S.
• Sound Connections Counseling & Consulting, LLC
• Sound Nutrition Dynamics
• Sound Rehabilitation and Performance
• Sound Somatic Therapy, PLLC
• South Sound Audioloyg LLC
• Gregory South, PHARM D.
• Jaclyn June Monge Southard, LMT
• Stacey M Sowders
• Chris John Spaccarotelli

• Adult Care Home Facility in Lacey, WA
• Providers in Lacey, 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 Mar 11, 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.