Active NPI
RSL Lake Stevens, LLC
- Assisted Living Facility
- Lake Stevens, WA
National Provider Identifier
1124645189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126 | Other | WA | ASSISTED LIVING FACILITY LICENSE |
Other names 1
- Ashley Pointe
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2199344 | Ashley Pointe Senior Living | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.