Organization Active NPI

Shunammite Adult Family Homes LLC

  • Nursing Home Administrator
  • Lakewood, WA
National Provider Identifier
1184599110
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
SHUNAMMITE ADULT FAMILY HOMES LLC
Practice address
9825 79TH St SW
Lakewood, WA 98498-3207
Phone
(253) 213-0571
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Ms. Stella K Kaibi
Title
Provider
Phone
(253) 213-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

9825 79TH St SW
Lakewood, WA 98498-3207

Mailing address

9825 79TH St SW
Lakewood, WA 98498-3207
Phone (253) 213-0571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1184599110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 79TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983207",
            "telephone_number": "253-213-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 79TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983207",
            "telephone_number": "253-213-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUNAMMITE ADULT FAMILY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "KAIBI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-213-0571",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "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 Oct 8, 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.

Verify at the official NPI Registry.