Organization Active NPI

Lakewood Adult Family Care Home Inc.

  • Adult Care Home Facility
  • Lakewood, WA
National Provider Identifier
1184430753
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LAKEWOOD ADULT FAMILY CARE HOME INC.
Practice address
6217 85TH St SW
Lakewood, WA 98499-2633
Phone
(253) 426-1236
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Ms. Neema Chematui Lokeno, NEEMA LOKENO
Title
Chief Executive Officer
Phone
(253) 314-8976

Specialties & licenses 1

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

Addresses

Primary practice location

6217 85TH St SW
Lakewood, WA 98499-2633

Mailing address

6217 85TH St SW
Lakewood, WA 98499-2633
Phone (253) 426-1236

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
50D2305330Lakewood Adult Family Care Home Inc6217 85TH St SW, Lakewood, WA 98499Certificate 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": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1184430753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 85TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992633",
            "telephone_number": "253-426-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 85TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992633",
            "telephone_number": "253-426-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD ADULT FAMILY CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-08",
        "status": "A",
        "authorized_official_last_name": "LOKENO",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_middle_name": "CHEMATUI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "253-314-8976",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NEEMA LOKENO"
    },
    "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 Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.