1. Home
  2. Directory
  3. Washington
  4. Lacey
  5. Assisted Living Facility
  6. NPI Profile

KYDD AT HEART ADULT FAMILY HOME LLC
NPI 1275814121
Assisted Living Facility in Lacey, WA

Active since September 06, 2011
4810 18TH AVE SE, STE 2, LACEY, WA 98503(360) 790-2863 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About KYDD AT HEART ADULT FAMILY HOME LLC

This page provides the complete NPI Profile along with additional information for Kydd At Heart Adult Family Home Llc, a provider established in Lacey, Washington operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1275814121 assigned on September 2011. The practitioner's primary taxonomy code is 310400000X with license number 752014 (WA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Wendy Ann Kydd Cna (Provider)

NPI
1275814121 Verify this NPI
Provider Name
KYDD AT HEART ADULT FAMILY HOME LLC
Entity Type
Organization
Location Address
4810 18TH AVE SE STE 2 LACEY, WA 98503
Location Phone
(360) 790-2863
Mailing Address
4810 18TH AVE SE STE 2 LACEY, WA 98503
Mailing Phone
(360) 790-2863
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2011
Last Update Date
09-06-2011
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
752014
License State
WA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1385H00000XRespite Care Facility

Respite Care

752014 (WA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WENDY ANN KYDD CNA

Authorized Official Title
PROVIDER
Authorized Official Phone
(360) 790-2863

Reviews for KYDD AT HEART ADULT FAMILY HOME LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is KYDD AT HEART ADULT FAMILY HOME LLC's NPI number?

The NPI number assigned to this healthcare provider is 1275814121, enumerated as an "organization" on September 06, 2011.

Where is the provider located?

The provider is located at 4810 18TH AVE SE STE 2 LACEY, WA 98503 and the phone number is (360) 790-2863.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.