Organization Active NPI

Pema Care Home

  • Nursing Home Administrator
  • Lakewood, WA
National Provider Identifier
1366310807
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
PEMA CARE HOME
Practice address
10215 Oak LN SW
Lakewood, WA 98499-1743
Phone
(253) 352-0681
Fax
(253) 352-0681
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Joseph Mwangi
Title
Caregiver
Phone
(253) 226-2218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193200000X MULTI-SPECIALTY GROUP 376G00000X Primary

Addresses

Primary practice location

10215 Oak LN SW
Lakewood, WA 98499-1743

Mailing address

10215 Oak LN SW
Lakewood, WA 98499-1743

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
50D2336626Pema Care Home10215 Oak Lane Southwest, 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": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1366310807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 OAK LN SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991743",
            "fax_number": "253-352-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 OAK LN SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991743",
            "telephone_number": "253-352-0681",
            "fax_number": "253-352-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMA CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "253-226-2218"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-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 27, 2025; 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.