Organization Active NPI

Cascade Comfort Adult Family Home LLC

  • Adult Care Home Facility
  • Lakewood, WA
National Provider Identifier
1881570596
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CASCADE COMFORT ADULT FAMILY HOME LLC
Practice address
12614 Rebecca Dr SW
Lakewood, WA 98499-1128
Phone
(253) 534-8810
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Antony Kimani
Title
Provider
Phone
(253) 534-8810

Specialties & licenses 1

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

Addresses

Primary practice location

12614 Rebecca Dr SW
Lakewood, WA 98499-1128

Mailing address

12614 Rebecca Dr SW
Lakewood, WA 98499-1128
Phone (253) 534-8810

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
50D2330205Cascade Comfort Adult Family Home LLC12614 Rebecca Dr SW, 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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1881570596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12614 REBECCA DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991128",
            "telephone_number": "253-534-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12614 REBECCA DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991128",
            "telephone_number": "253-534-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE COMFORT ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-534-8810"
    },
    "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 Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.