MEDICARE: NAVALUNA CORPORATION DBA PEACE OF MIND ADULT FAMILY HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1023953593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVALUNA CORPORATION DBA PEACE OF MIND ADULT FAMILY HOME

Provider Business Mailing Address
First Line	:	14227 117TH AVE NE
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-1166
Country	:	US
Telephone Number	:	425-442-0930
Fax Number	:	425-460-1035

Provider Business Practice Location Address
First Line	:	14227 117TH AVE NE
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-1166
Country	:	US
Telephone Number	:	425-442-0930
Fax Number	:	425-460-1035

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDISON NAVALUNA
Credential	:
Telephone Number	:	425-442-0930

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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