Picnic Point Villa Afh LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

PICNIC POINT VILLA AFH LLC

Practice address

4627 Picnic Point Rd
Edmonds, WA 98026-3926

Phone

(425) 741-9575

NPI assigned

Apr 22, 2026

Organization subpart

No

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

Authorized official

Name

Besset Zenebe

Title

Provider

Phone

(425) 275-7181

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": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1861337271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 PICNIC POINT RD",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263926",
            "telephone_number": "425-741-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 PICNIC POINT RD",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263926",
            "telephone_number": "425-741-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICNIC POINT VILLA AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "ZENEBE",
        "authorized_official_first_name": "BESSET",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "425-275-7181"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHD#2 of Snohomish County
• PHD2 of Snohomish County
• Richard Claude Phillips, MD, MS, MPH
• Ame Phitwong, ARNP
• Physical Medicine Northwest
• Cynthia Piepenbrok, LMHC
• Kelby Iris Pierce
• Gwendolyn Piercey, A.R.N.P.
• Carrie Pilger, M.A.
• Gwen Pilon, RN

• Custodial Care Facility in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Custodial Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.