MEDICARE: ALPHA1 ADULT FAMILY HOME LLC

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	251J00000X	Nursing Care Agency
2	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1174385991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA1 ADULT FAMILY HOME LLC

Provider Business Mailing Address
First Line	:	24737 14TH AVE S
Second Line	:
City	:	DES MOINES
State	:	WA
Zip	:	98198-7815
Country	:	US
Telephone Number	:	206-228-3360
Fax Number	:	206-400-7773

Provider Business Practice Location Address
First Line	:	24737 14TH AVE S
Second Line	:
City	:	DES MOINES
State	:	WA
Zip	:	98198-7815
Country	:	US
Telephone Number	:	206-228-3360
Fax Number	:	206-400-7773

Authorized Official
Title or Position	:	OWNER
Name	:	ABSIRA ESHETU TADESSE
Credential	:	RN
Telephone Number	:	206-228-3360

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	04/01/2026

Similar Medicare Providers

1063274876 — ABSIRA ESHETU TADESSE REGISTERED NURSE
Practice Location Address:

24737 14TH AVE S
DES MOINES, WA
98198-7815

Practice Phone: 206-228-3360
Practice Fax: 206-400-7773

1235866245 — DR. CHRISTINE NGUYEN DMD
Practice Location Address:

26401 PACIFIC HWY S STE 201
DES MOINES, WA
98198-9247

Practice Phone: 206-870-3600
Practice Fax: 206-824-1790

1104823129 — STEVEN G WITTROCK PT
Practice Location Address:

22659 PACIFIC HWY S
DES MOINES, WA
98198-5155

Practice Phone: 206-824-3668
Practice Fax: 206-824-3964

1669465498 — CINDY M. BREED ND
Practice Location Address:

26401 PACIFIC HWY S STE 101
DES MOINES, WA
98198-9247

Practice Phone: 206-870-3590
Practice Fax:

1568450807 — WESLEY HOMES DES MOINES LLC
Practice Location Address:

1122 S 216TH ST
DES MOINES, WA
98198-8301

Practice Phone: 206-870-1345
Practice Fax: 206-870-1321

1427047109 — ELIZABETH R. MCCARTHY M.D.
Practice Location Address:

26401 PACIFIC HWY S STE 101
DES MOINES, WA
98198-9247

Practice Phone: 425-277-1311
Practice Fax:

Directions to “ALPHA1 ADULT FAMILY HOME LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.