Manassehs Adult Family Home LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

MANASSEHS ADULT FAMILY HOME LLC

Practice address

4903 Sheridan Dr SE
Lacey, WA 98503-7062

Phone

(919) 917-4827

NPI assigned

Jan 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruth NgigiNPI 1386525368

Title

Owner

Phone

(919) 919-4827

Specialties & licenses 1

Addresses

Other names 1

• Manasseh's Adult family Home LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Ngigi

  • Registered Nurse
  • Lacey, WA
  • NPI 1386525368
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1033929203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 SHERIDAN DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037062",
            "telephone_number": "919-917-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 SHERIDAN DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037062",
            "telephone_number": "919-917-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSEHS ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "NGIGI",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-919-4827"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manasseh's Adult family Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Michelle Maki
• Caitlin Malcom
• Alyssa Maldonado
• Patrick William Maley
• Alika Malmstrom, LMP
• Antonette Manigsaca
• Manitou Horizons LLC
• Myhre Manning-Kniestedt
• Manor Care of Lacey Wa, Association
• Stacy L Manroe, PA-C

• Registered Nurse in Lacey, WA
• Providers in Lacey, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.