Organization Active NPI

Rainier Vista Afh

  • Adult Care Home Facility
  • Lacey, WA
National Provider Identifier
1245136506
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RAINIER VISTA AFH
Practice address
4520 Ruddell Rd SE
Lacey, WA 98503-4334
Phone
(360) 688-7189
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Joan Kaweesa
Title
Provider
Phone
(360) 688-7189

Specialties & licenses 1

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

Addresses

Primary practice location

4520 Ruddell Rd SE
Lacey, WA 98503-4334

Mailing address

4520 Ruddell Rd SE
Lacey, WA 98503-4334

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1245136506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034334",
            "telephone_number": "360-688-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER VISTA AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "KAWEESA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-688-7189"
    },
    "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 Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.