Kaanapali Beach, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KAANAPALI BEACH, LLC

Doing business as

Puyallup Post Acute

Practice address

516 23Rd Ave SE
Puyallup, WA 98372-4659

Phone

(253) 845-6631

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Williams

Title

Managing Member

Phone

(916) 945-1248

Specialties & licenses 1

Addresses

Other names 1

• Puyallup Post Acute Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1881577138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 MENLO DR STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724659",
            "telephone_number": "253-845-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAANAPALI BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "916-945-1248"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puyallup Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Julien, AAC
• Yon Hee Jun, SW
• Darius Robert Jungferman-Griffin
• Vicki Jeanette Just-Schaefer, LMT
• K. a. Maulding DDS, P.S.
• Amanda M Kaare, OTR/L
• Mannix Kalala Kabangu, SA-C
• Susan R Kabeary, PT
• Thomas M Kabeary, MSM,PT,BA
• Patricia Gathoni Kabochi

• Skilled Nursing Facility in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.