Organization Active NPI

New Era Adult Family Home at Lynnwood

  • Home Health Agency
  • Lynnwood, WA
National Provider Identifier
1417819343
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEW ERA ADULT FAMILY HOME AT LYNNWOOD
Practice address
6230 188TH St SW
Lynnwood, WA 98037-7248
Phone
(206) 355-2562
Fax
(425) 382-7643
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mesfin Gewe
Title
Provider
Phone
(206) 355-2562

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

6230 188TH St SW
Lynnwood, WA 98037-7248

Mailing address

428 218TH St SW
Bothell, WA 98021-8155
Phone (206) 355-2562

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2336090New Era Adult Family Home at Lynnwood LLC6230 188TH St SW, Lynnwood, WA 98037Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1417819343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 218TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218155",
            "telephone_number": "206-355-2562",
            "fax_number": "425-382-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 188TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377248",
            "telephone_number": "206-355-2562",
            "fax_number": "425-382-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA ADULT FAMILY HOME AT LYNNWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "GEWE",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-355-2562"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 1, 2025; 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.