Lacey Manor Afh LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LACEY MANOR AFH LLC

Practice address

6220 Hogan Dr SE
Olympia, WA 98513-4922

Phone

(720) 980-8387

NPI assigned

May 13, 2026

Organization subpart

No

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

Authorized official

Name

Garima Shrestha

Title

Owner

Phone

(720) 980-8387

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1295664654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 HOGAN DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985134922",
            "telephone_number": "720-980-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 HOGAN DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985134922",
            "telephone_number": "720-980-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY MANOR AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "SHRESTHA",
        "authorized_official_first_name": "GARIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-980-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Olympia, WA
• Providers in Olympia, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.