Medicaid, through DSHS
A Medicaid adult family home contract, for residents who qualify.
Number One Choice AFH is a licensed home for six residents on Military Road South, between SeaTac and Tukwila. Our provider, a Licensed Practical Nurse, lives in the home, and caregivers are here 24 hours a day, 7 days a week.
From a little help each morning to full care in bed, we plan care around each person, and we let residents do what they can for themselves, safely.
Care for people living with Alzheimer’s disease and other forms of dementia. Calm, predictable days, gentle reminders, and help at whatever level each person needs.
Support for adults living with mental illness, with a steady daily routine and a care plan built around the person, not the diagnosis.
Care and everyday support for adults with developmental disabilities, in a home setting with the same familiar faces each day.
Help with bathing, dressing, grooming, eating and using the bathroom, from simple reminders to full help. Residents choose their own clothes and do what they can.
Help walking and moving around the home, wheelchair help, and every kind of transfer, including with a Hoyer lift. Residents in bed are turned at least every 2 hours.
Medication help and administration through nurse delegation, including insulin injections, blood sugar checks, eye and ear drops, wound dressings and tube feeding.
Every caregiver is trained and delegated by a nurse before doing any nursing task.
In most adult family homes, a nurse visits from time to time. At Number One Choice AFH, the provider is a Licensed Practical Nurse who lives in the home and watches over every resident’s health, every day.
Private and shared bedrooms, bathrooms made for wheelchairs and walkers, and shared spaces that feel like home. Tap any photo to see it larger.
Activities are planned through the week, meals are made fresh, and families are part of the celebrations.
Each week has a schedule of activities for residents to enjoy.
Nutritious meals and snacks every day, with help at the table for anyone who needs it. We serve food that respects each resident’s culture and background.
We celebrate birthdays and holidays together, and we invite residents’ families, close and extended, to join us.




Melake is the provider and owner of Number One Choice AFH, and a Licensed Practical Nurse. Melake lives in the home and gives ongoing oversight of every resident’s well-being.
“Our adult family home takes pride in providing a warm, nurturing and friendly environment. We strive to provide individualized and dignified care. Our residents and their families can rest assured we will promote and protect their quality of life and ability to age in place.”
Melake Kifle, Provider and Owner
Every family’s situation is different. Call Melake and we will talk it through with you.
The cost depends on the care each person needs. Call us and we will explain what care would cost for your family.
We accept Medicaid. Call Melake and we will talk through your situation.
We work with DSHS, Home and Community Services and hospital discharge planners, and we hold the state contracts below.
A Medicaid adult family home contract, for residents who qualify.
For clients who need more behavioral support than a standard placement provides.
Structured daily activity for Home and Community Services clients.
The same, for clients served by the Developmental Disabilities Administration.
Send a referral by phone on (206) 565-8428 or by fax to (206) 588-2784. A Licensed Practical Nurse will review it and call you back.
Yes. Melake Kifle, the provider and owner, is a Licensed Practical Nurse who lives in the home and oversees every resident’s care. Caregivers are here 24 hours a day, 7 days a week.
Dementia care, mental health care, and care for adults with developmental disabilities. Every level of personal care, from reminders to full help with bathing, dressing, eating and the bathroom. Medication help and nursing tasks such as insulin injections and blood sugar checks, through nurse delegation.
Yes. Dementia care is one of our specialties, and we have completed the Washington State DSHS training for it. We keep days calm and predictable, and we give gentle reminders and help at whatever level each person needs.
An adult family home is a licensed residential home that cares for up to six adults. Washington State DSHS licenses and inspects every one of them. Because the home is small, residents get far more individual attention than in a large facility, and the same caregivers are there every day.
Nurse delegation is how a nurse trains and authorises caregivers to carry out specific nursing tasks for a named resident, and then supervises them. At Number One Choice AFH the provider is a Licensed Practical Nurse, so medication administration, insulin injections, blood sugar checks, tube feeding, eye and ear drops and wound dressings can all be done here.
Yes. We hold DSHS contracts for Expanded Community Services, HCS Meaningful Day and DDA Meaningful Day, as well as a Medicaid adult family home contract. Call (206) 565-8428 or fax a referral to (206) 588-2784.
Up to six. A small home means every resident is known well and gets real attention.
Yes. Please call Melake on (206) 565-8428 and we will talk through your situation.
It depends on the care each person needs. Please call Melake on (206) 565-8428 and we will talk about your family’s situation.
Yes. Please call (206) 565-8428, or fax (206) 588-2784.
Yes, please do. Visits are by appointment. Call Melake on (206) 565-8428 to find a time that suits your family.
17225 Military Road South, SeaTac, WA 98188. We are right by the Tukwila line, minutes from Southcenter, Sea-Tac Airport and I-5. Families come to us from SeaTac, Tukwila, Burien, Renton, Des Moines, Normandy Park, Kent, Federal Way, south Seattle and across south King County.
17225 Military Rd S
SeaTac, WA 98188
We are on Military Road South, right by the Tukwila line, minutes from Southcenter, Sea-Tac Airport and I-5.
Families come to us from
The best way to choose a home is to walk through it. Call to arrange a time, or send us a message and Melake will call you back.
Families, case managers and discharge planners are all welcome to call.