Martha Lake Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARTHA LAKE ADULT FAMILY HOME

Practice address

809 167TH PL SW
Lynnwood, WA 98037-8195

Phone

(206) 708-5114

Fax

(425) 835-8614

NPI assigned

Sep 21, 2026

Organization subpart

No

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

Authorized official

Name

Eskadar Gemetyllew, PROVIDER

Title

Provider/Owner

Phone

(206) 708-5114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1609788892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 167TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378195",
            "telephone_number": "206-708-5114",
            "fax_number": "425-835-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 167TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378195",
            "telephone_number": "206-708-5114",
            "fax_number": "425-835-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA LAKE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "GEMETYLLEW",
        "authorized_official_first_name": "ESKADAR",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "206-708-5114",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sarah Marlowe, M.A.
• Yohanna Itzel Marquez
• Julia Marshall
• Elaine Martel, M.D.
• Martha Afh LLC
• Martha Lake Dental Center
• Martha Lake Physical Therapy Inc (Axis Physical Therapy Inc)
• Ann Martin, M.S.
• Darcy Martin, LMP
• Joan M. Martin, MS

• Adult Care Home Facility in Lynnwood, WA
• Providers in Lynnwood, 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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.