Organization Active NPI

Carnelian Afh

  • Adult Care Home Facility
  • Lacey, WA
National Provider Identifier
1508797929
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CARNELIAN AFH
Practice address
1305 Boone St SE
Lacey, WA 98503-2260
Phone
(360) 764-7556
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Justus Maina, BSNNPI 1366278046
Title
Founder
Phone
(206) 460-2763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1305 Boone St SE
Lacey, WA 98503-2260

Mailing address

1305 Boone St SE
Lacey, WA 98503-2260
Phone (360) 764-7556

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
50D2305236Carnelian Afh1305 Boone St SE, Lacey, WA 98503Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1508797929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BOONE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032260",
            "telephone_number": "360-764-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BOONE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032260",
            "telephone_number": "360-764-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNELIAN AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "JUSTUS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-460-2763",
        "authorized_official_credential": "BSN"
    },
    "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 May 26, 2026; 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.