Tacoma has 380 licensed adult family homes with 2,200 licensed beds, according to Washington State DSHS records. 366 accept Medicaid, 372 carry the dementia specialty designation, 373 carry the mental health designation, and 289 serve developmental disabilities. 5 are licensed for more than six residents.
Records current as of September 14, 2026.
These homes hold no DSHS contract and cannot accept Medicaid. Residents pay privately.
All 380 · Specialized Behavior Support · developmental disabilities · Expanded Community Services · private pay only · more than six residents
4301 33rd St Ne, Tacoma, WA 98422 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 758915
421 114th St S, Tacoma, WA 98444 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 759269
5064 33rd Ct Ne, Tacoma, WA 98422 — licensed for 6
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 759304
1863 Overview Dr Ne, Tacoma, WA 98422 — licensed for 6
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 758489
912 S Puget Sound Ave, Tacoma, WA 98405 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 757195
916 S Puget Sound Ave, Tacoma, WA 98405 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 753931
1421 S 86th Street, Tacoma, WA 98444 — licensed for 6
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 758570
1146 N James St, Tacoma, WA 98406 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 753181
1213 120th St S, Tacoma, WA 98444 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 755415
1321 South 90th Street, Tacoma, WA 98444 — licensed for 5
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 600700
1319 S Highland Ave, Tacoma, WA 98465 — licensed for 4
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 752501
605 133rd St S, Tacoma, WA 98444 — licensed for 6
Mental Health · Dementia — private pay only
DSHS license 759294
1630 E 63rd St, Tacoma, WA 98404 — licensed for 8
Mental Health · Dementia — private pay only
DSHS license 750367
16822 36th Ave E, Tacoma, WA 98446 — licensed for 6
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 759315
Licensing information is sourced from Washington State DSHS public records and was retrieved on September 14, 2026. Specialty designations reflect provider training required by the state; they are not quality ratings and are not endorsements. Verify current licensing status directly with DSHS before relying on this information. Real Property Planning is an independent educational resource and does not operate, own, or manage any adult family home.