Healthcare Provider Details

I. General information

NPI: 1437067436
Provider Name (Legal Business Name): AAHAVA BEST CARE ADULT FAMILY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20630 9TH AVE S
DES MOINES WA
98198-3435
US

IV. Provider business mailing address

20630 9TH AVE S
DES MOINES WA
98198-3435
US

V. Phone/Fax

Practice location:
  • Phone: 425-679-2855
  • Fax: 206-212-6585
Mailing address:
  • Phone: 425-679-2855
  • Fax: 206-212-6585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: LUCY W. GATHU
Title or Position: PROVIDER
Credential:
Phone: 425-679-2855