Active NPI
Kapalua Beach, LLC
- Skilled Nursing Facility
- Bellevue, WA
National Provider Identifier
1184413239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KAPALUA BEACH, LLC
- Practice address
- 2424 156TH Ave NE
Bellevue, WA 98007-3814 - Phone
- (425) 242-5671
- NPI assigned
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Williams
- Title
- Managing Member
- Phone
- (916) 299-7030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2424 156TH Ave NE
Bellevue, WA 98007-3814
Mailing address
599 Menlo Dr Ste 200
Rocklin, CA 95765-3725
Other names 1
- Bellevue Post Acute
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1184413239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 MENLO DR STE 200",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957653725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 156TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980073814",
"telephone_number": "425-242-5671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAPALUA BEACH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "916-299-7030"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bellevue Post Acute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.