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Active NPI 1427856897 Organization (Entity Type 2)

4 Elements Afh, Llc

Custodial Care Facility - Adult Care Home • Everett, WA

About 4 Elements Afh, Llc NPI 1427856897 Summary

4 Elements Afh, Llc is a verified healthcare organization specializing in Custodial Care Facility - Adult Care Home operating in Everett, WA. Located at 9111 9TH AVE SE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1427856897.

Administrative operations and authorized compliance are overseen by Ian Wallace (Provider/Owner).

Facility Location & Contact Primary Location

Facility Address

9111 9th Ave Se

Everett, WA 982083316

Telephone 2067789199

Authorized Official Information

Authorized Contact Name

Ian Wallace , NURSE AID

Title / Role

Provider/owner

Official Telephone

2067789199

Facility Classifications & Specialties

Custodial Care Facility - Adult Care Home Primary Taxonomy

NUCC Taxonomy Code: 311ZA0620X

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 03, 2025

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2025

Registered at 9111 9TH AVE SE, EVERETT, WA 982083316 (Tel: 2067789199)

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Updated Business Mailing Address March 03, 2025

Registered at 218 MAIN ST # 308, KIRKLAND, WA 980336108 (Tel: 2067799199)

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Organization / Clinic Name Updated March 03, 2025

Operating as 4 ELEMENTS AFH, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2025

Custodial Care Facility

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Initial NPI Registration & Enumeration March 03, 2025

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1427856897
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 03, 2025
Last Update: March 03, 2025

Mailing Address

218 Main St # 308

Kirkland, WA 980336108

Phone: 2067799199

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.