Life Fulfilled Adult Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LIFE FULFILLED ADULT HOME CARE

Practice address

7309 97TH Ave SW
Lakewood, WA 98498-3324

Phone

(678) 851-4825

Fax

(206) 501-4904

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Seberina George

Title

Ceo

Phone

(678) 851-4825

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1609685866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 97TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983324",
            "telephone_number": "678-851-4825",
            "fax_number": "206-501-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 97TH AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983324",
            "telephone_number": "678-851-4825",
            "fax_number": "206-501-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FULFILLED ADULT HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SEBERINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-851-4825"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Li
• Lin Li, R.PH
• Minyu Lian
• Anita Liang
• Jiangzhenjun Liao
• Life Star Healthcare Services LLC
• Lifegrowth Resources
• Shelley Patricia Lileks
• Angela Rose Lillico
• Regina Y Lim-Yu

• Adult Care Home Facility in Lakewood, WA
• Providers in Lakewood, 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 Jan 2, 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.