1St Michael Adult Family Home, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

1ST MICHAEL ADULT FAMILY HOME, LLC

Practice address

12710 20TH PL W
Everett, WA 98204-5583

Phone

(206) 349-2285

Fax

(425) 484-8001

NPI assigned

May 8, 2026

Last updated

May 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tesfaye B NorahunNPI 1235976630

Title

Owner

Phone

(206) 349-2285

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tesfaye B Norahun

  • Nurse's Aide
  • Everett, WA
  • NPI 1235976630
  NPD (past) Authorized official

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1710815063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 20TH PL W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 20TH PL W",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045583",
            "telephone_number": "206-349-2285",
            "fax_number": "425-484-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST MICHAEL ADULT FAMILY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "NORAHUN",
        "authorized_official_first_name": "TESFAYE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-349-2285"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Everett, WA
• Providers in Everett, 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 May 16, 2026; 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.