Smiling Heart Adult Family Home LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

SMILING HEART ADULT FAMILY HOME LLC

Practice address

62 W Shore Ave SW
Lakewood, WA 98498-5840

Phone

(253) 212-2079

Fax

(253) 503-1960

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Thuweba Ndunge Kimotho, HOME CARE AIDE (HCA)

Title

Provider/Owner

Phone

(253) 632-9374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1912852161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W SHORE AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985840",
            "telephone_number": "253-212-2079",
            "fax_number": "253-503-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W SHORE AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985840",
            "telephone_number": "253-212-2079",
            "fax_number": "253-503-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING HEART ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "KIMOTHO",
        "authorized_official_first_name": "THUWEBA",
        "authorized_official_middle_name": "NDUNGE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-632-9374",
        "authorized_official_credential": "HOME CARE AIDE (HCA)"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Home Administrator in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Nursing Home Administrator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.