Organization Active NPI

Neighborhood Adult Family Home LLC

  • Adult Care Home Facility
  • Renton, WA
National Provider Identifier
1487502183
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
NEIGHBORHOOD ADULT FAMILY HOME LLC
Practice address
2217 Duvall Ave NE
Renton, WA 98059-3616
Phone
(206) 334-5310
Fax
(425) 517-1160
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Liya Melese Chibsa, HCA
Title
Provider/Owner
Phone
(206) 334-5310

Specialties & licenses 1

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

Addresses

Primary practice location

2217 Duvall Ave NE
Renton, WA 98059-3616

Mailing address

2217 Duvall Ave NE
Renton, WA 98059-3616
Phone (206) 334-5310

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
50D2329847Neighborhood Adult Family Home LLC2217 Duvall Ave NE, Renton, WA 98059Certificate 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": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1487502183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 DUVALL AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593616",
            "telephone_number": "206-334-5310",
            "fax_number": "425-517-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 DUVALL AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593616",
            "telephone_number": "206-334-5310",
            "fax_number": "425-517-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "CHIBSA",
        "authorized_official_first_name": "LIYA",
        "authorized_official_middle_name": "MELESE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "206-334-5310",
        "authorized_official_credential": "HCA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

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