Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAINIER VISTA AFH
NPI 1245136506
Custodial Care Facility - Adult Care Home in Lacey, WA

Active since October 14, 2026CLIA 50D2343431 · Waiver
4520 RUDDELL RD SE, LACEY, WA 98503(360) 688-7189 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rainier Vista Afh NPPES

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

RAINIER VISTA AFH (NPI 1245136506) is a healthcare organization registered as an adult care home in Lacey, Washington and active in the NPI registry since October 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Joan Kaweesa, Provider, as its authorized official.

NPPES Registry Identity

NPI1245136506
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRAINIER VISTA AFH
Location Address4520 RUDDELL RD SELacey, WA 98503-4334
Mailing Address4520 Ruddell Rd SeLacey, WA 98503-4334
Organization SubpartNo
Authorized OfficialJoan KaweesaProvider · (360) 688-7189
Enumeration DateOctober 14, 2026
NPPES CertifiedOctober 14, 2026
✔ NPI 1245136506 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.
4520 RUDDELL RD SE, Lacey, WA 98503

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 50D2343431

Rainier Vista Adult Family Home · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D2343431
Laboratory TypeAfh
Certificate Effective DateMay 6, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPaula Marcella
Laboratory Phone(360) 688-7189
Laboratory LocationRainier Vista Adult Family Home4520 Ruddell Rd. SE, Lacey, WA 98503
CLIA data matches this NPI record on: Address 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 Rainier Vista Afh's NPI number?

The NPI number for Rainier Vista Afh is 1245136506. It was assigned to this organization in the NPPES registry on October 14, 2026.

Where is Rainier Vista Afh located?

Rainier Vista Afh is located at 4520 Ruddell Rd SE, Lacey, WA 98503. The listed phone number is (360) 688-7189.

What is Rainier Vista Afh's specialty?

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

Does Rainier Vista Afh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2343431) 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 Rainier Vista Afh was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.