Buena Vista Afh LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BUENA VISTA AFH LLC

Practice address

2605 Forest Ridge Dr SE
Auburn, WA 98002-7023

Phone

(206) 413-1955

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benard Kalama

Title

Adult Care Home Administrator

Phone

(206) 413-1955

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1235986845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 FOREST RIDGE DR SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST RIDGE DR SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980027023",
            "telephone_number": "206-413-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "KALAMA",
        "authorized_official_first_name": "BENARD",
        "authorized_official_title_or_position": "ADULT CARE HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "206-413-1955"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Brune
• Jarrett Evan Bruno, DO
• Linda L Buchanan
• Whitney Michelle Buckles
• Tracey Bucknor
• Build 2 Lead
• Bryant Matthew Bullock, DO
• Catherine Bullock, LICE TECHNICIAN
• Suzanne Pruett Bullock, MA, RC
• Emily Burch, MSN

• Adult Care Home Facility in Auburn, WA
• Providers in Auburn, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.