Organization Active NPI

RSL Lake Stevens, LLC

  • Assisted Living Facility
  • Lake Stevens, WA
National Provider Identifier
1124645189
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RSL LAKE STEVENS, LLC
Practice address
11117 20TH St NE
Lake Stevens, WA 98258-8142
Phone
(425) 397-7500
Fax
(425) 397-9389
NPI assigned
Jun 25, 2020
Organization subpart
Yes
Parent organization
RADIANT COMPANIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
James T. Guffee
Title
President of Manager
Phone
(503) 595-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11117 20TH St NE
Lake Stevens, WA 98258-8142

Mailing address

10220 SW Greenburg Rd Ste 201
Portland, OR 97223-5505
Phone (503) 595-2810

Other identifiers 1

IdentifierTypeStateIssuer
2126OtherWAASSISTED LIVING FACILITY LICENSE

Other names 1

  • Ashley Pointe Doing business as

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
50D2199344Ashley Pointe Senior Living11117 20TH St NE, Lake Stevens, WA 98258Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1124645189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11117 20TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588142",
            "telephone_number": "425-397-7500",
            "fax_number": "425-397-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL LAKE STEVENS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY LICENSE",
            "identifier": "2126",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Pointe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.