Organization Active NPI

Heart2Heart Adult Family Home LLC

  • Adult Care Home Facility
  • Lacey, WA
National Provider Identifier
1407567209
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEART2HEART ADULT FAMILY HOME LLC
Practice address
3617 Red Cedar CT SE
Lacey, WA 98503-2162
Phone
(360) 995-4021
Fax
(360) 994-3600
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Gonzaga Mulindwa
Title
Provider
Phone
(253) 257-7749

Specialties & licenses 1

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

Addresses

Primary practice location

3617 Red Cedar CT SE
Lacey, WA 98503-2162

Mailing address

3617 Red Cedar CT SE
Lacey, WA 98503-2162
Phone (360) 995-4021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1407567209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 RED CEDAR CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032162",
            "telephone_number": "360-995-4021",
            "fax_number": "360-994-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 RED CEDAR CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032162",
            "telephone_number": "360-995-4021",
            "fax_number": "360-994-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART2HEART ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MULINDWA",
        "authorized_official_first_name": "GONZAGA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-257-7749"
    },
    "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 Jan 8, 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.