Organization Active NPI

Everbloom Adult Family Home LLC

  • Home Health Agency
  • Marysville, WA
National Provider Identifier
1922954668
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERBLOOM ADULT FAMILY HOME LLC
Doing business as
Everbloom AFH
Everbloom Care Home
Practice address
6709 45TH PL NE
Marysville, WA 98270-8857
Phone
(360) 547-6446
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Fanaye Amsalu, MPH
Title
Provider/Owner
Phone
(425) 737-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6709 45TH PL NE
Marysville, WA 98270-8857

Mailing address

6709 45TH PL NE
Marysville, WA 98270-8857
Phone (360) 547-6446

Other names 2

  • Everbloom AFH Doing business as
  • Everbloom Care Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1922954668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 45TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982708857",
            "telephone_number": "360-547-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 45TH PL NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982708857",
            "telephone_number": "360-547-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERBLOOM ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "AMSALU",
        "authorized_official_first_name": "FANAYE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "425-737-4674",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everbloom AFH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Everbloom Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.