Organization Active NPI

M&a Adult Family Home LLC

  • Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1851230684
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
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

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Ayele KassaNPI 1427916410
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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 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 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": "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

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.

Verify at the official NPI Registry.