NPIMap

Organization Active NPI

Manna Adult Family Home

  • Registered Nurse
  • Everett, WA
National Provider Identifier
1497626998
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
MANNA ADULT FAMILY HOME
Practice address
6220 East Dr
Everett, WA 98203-4411
Phone
(792) 292-8464
Fax
(425) 353-2159
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Yenenesh Tsegay WorknehNPI 1467336552
Title
Registered Nurse
Phone
(702) 292-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

6220 East Dr
Everett, WA 98203-4411

Mailing address

6220 East Dr
Everett, WA 98203-4411
Phone (425) 265-9749

National Provider Directory

National Provider Directory
Tax ID family
Manna Adult Family Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1497626998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 EAST DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034411",
            "telephone_number": "425-265-9749",
            "fax_number": "425-353-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 EAST DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034411",
            "telephone_number": "792-292-8464",
            "fax_number": "425-353-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "WORKNEH",
        "authorized_official_first_name": "YENENESH",
        "authorized_official_middle_name": "TSEGAY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "702-292-8464"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.