Active NPI
M&a Adult Family Home LLC
- Registered Nurse
- Lynnwood, WA
National Provider Identifier
1851230684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- M&A ADULT FAMILY HOME LLC
- Practice address
- 5524 189TH St SW
Lynnwood, WA 98036-5211 - Phone
- (206) 306-3174
- NPI assigned
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ayele Kassa
- Title
- Manager
- Phone
- (206) 306-3174
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary |
Addresses
Primary practice location
5524 189TH St SW
Lynnwood, WA 98036-5211
Mailing address
5524 189TH St SW
Lynnwood, WA 98036-5211
Phone (206) 306-3174
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Lynnwood, WA
- NPI 1427916410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1851230684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5524 189TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365211",
"telephone_number": "206-306-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 189TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365211",
"telephone_number": "206-306-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&A ADULT FAMILY HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "KASSA",
"authorized_official_first_name": "AYELE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "206-306-3174"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
- Lynnwood Medical Center, Incorporated, P.S.
- Lynnwood SNF Operations LLC
- Lynnwood Speech & Language Services
- Lynnwoodsmiles
- M Jay Campbell D C P S
- Tyler Zachery Ma, PT
- Mabuhay Medical Supply and Equipment
- Marie Choquette Maccoy, LICSW, CDP, CMHS, MH
- Steven Masuo Machida, D.D.S.
- Veronica Prajedez Macias
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.