Organization Active NPI

Appletree Adult Family Home

  • Adult Care Home Facility
  • Battle Ground, WA
National Provider Identifier
1043151970
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
APPLETREE ADULT FAMILY HOME
Practice address
205 SW 4TH Ave
Battle Ground, WA 98604-8403
Phone
(916) 968-2054
Fax
(360) 342-8954
NPI assigned
Apr 3, 2026
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Pauline Wangari Mwathi, LPN
Title
Provider
Phone
(916) 968-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

205 SW 4TH Ave
Battle Ground, WA 98604-8403

Mailing address

205 SW 4TH Ave
Battle Ground, WA 98604-8403
Phone (916) 968-2054

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2325454Appletree Adult Family Home205 SW 4TH Ave, Battleground, WA 98604Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

205 SW 4th Ave
Battle Ground, WA 98604
Phone (916) 968-2054

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1043151970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SW 4TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048403",
            "telephone_number": "916-968-2054",
            "fax_number": "360-342-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SW 4TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048403",
            "telephone_number": "916-968-2054",
            "fax_number": "360-342-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETREE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "MWATHI",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "WANGARI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "916-968-2054",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.