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BUENA VISTA AFH LLC
NPI 1235986845
Custodial Care Facility - Adult Care Home in Auburn, WA

Active since May 01, 2024CLIA 50D2274913 · Waiver
2605 FOREST RIDGE DR SE, AUBURN, WA 98002(206) 413-1955 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Buena Vista Afh Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUENA VISTA AFH LLC (NPI 1235986845) is a healthcare organization registered as an adult care home in Auburn, Washington and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Benard Kalama, Adult Care Home Administrator, as its authorized official.

NPPES Registry Identity

NPI1235986845
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBUENA VISTA AFH LLC
Location Address2605 FOREST RIDGE DR SEAuburn, WA 98002-7023
Mailing Address2605 Forest Ridge Dr SeAuburn, WA 98002-7023
Phone(206) 413-1955
Organization SubpartNo
Authorized OfficialBenard KalamaAdult Care Home Administrator · (206) 413-1955
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1235986845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2605 FOREST RIDGE DR SE, Auburn, WA 98002
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2274913

Buena Vista Afh LLC · Auburn, WA
Active · expires Apr 4, 2028
CLIA Number50D2274913
Laboratory TypeAfh
Certificate Effective DateJanuary 12, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBenard K. Kalama
Laboratory Phone(206) 413-1955
Laboratory LocationBuena Vista Afh LLC2605 Forest Ridge Dr SE, Auburn, WA 98002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buena Vista Afh LLC's NPI number?

The NPI number for Buena Vista Afh LLC is 1235986845. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Buena Vista Afh LLC located?

Buena Vista Afh LLC is located at 2605 Forest Ridge Dr SE, Auburn, WA 98002. The listed phone number is (206) 413-1955.

What is Buena Vista Afh LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Buena Vista Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2274913) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Buena Vista Afh LLC was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.