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ST NINO ADULT FAMILY HOME
NPI 1710153937
Custodial Care Facility - Adult Care Home in Spanaway, WA

Active since May 07, 2008CLIA Certified · 2 labs
19620 8TH AVE E, SPANAWAY, WA 98387(253) 875-9077(253) 875-9077 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St Nino Adult Family Home NPPES

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

ST NINO ADULT FAMILY HOME (NPI 1710153937) is a healthcare organization registered as an adult care home in Spanaway, Washington and active in the NPI registry since May 2008. The organization holds 2 active CLIA laboratory certificates and lists Reza S Vargas, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1710153937
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameST NINO ADULT FAMILY HOME
Location Address19620 8TH AVE ESpanaway, WA 98387
Mailing Address19620 8th Ave E, 19724 8th Ave E Spanaway Wa 98387Spanaway, WA 98387-8478 · (253) 875-9077
Phone(253) 875-9077
Fax(253) 875-9077
Organization SubpartNo
Authorized OfficialReza S VargasProvider/owner · (253) 875-9077
Enumeration DateMay 7, 2008
✔ NPI 1710153937 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
License✔ Licensed in WA · 635100
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.
19620 8TH AVE E, Spanaway, WA 98387
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CLIA Laboratory Certificates CMS CLIA 2

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 50D2263778

St Nino Adult Family Home · Spanaway, WA
Active · expires Apr 4, 2028
CLIA Number50D2263778
Laboratory TypeAfh
Certificate Effective DateJuly 5, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReza Vargas
Laboratory Phone(253) 847-4163
Laboratory LocationSt Nino Adult Family Home19620 8th Ave E, Spanaway, WA 98387
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2263779

St Nino Inc · Spanaway, WA
Active · expires Apr 4, 2028
CLIA Number50D2263779
Laboratory TypeAfh
Certificate Effective DateJuly 5, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorReza Vargas
Laboratory Phone(253) 875-9077
Laboratory LocationSt Nino Inc19724 8th Ave E, Spanaway, WA 98387
CLIA data matches this NPI record on: 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 St Nino Adult Family Home's NPI number?

The NPI number for St Nino Adult Family Home is 1710153937. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is St Nino Adult Family Home located?

St Nino Adult Family Home is located at 19620 8th Ave E, Spanaway, WA 98387. The listed phone number is (253) 875-9077.

What is St Nino Adult Family Home's specialty?

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

Does St Nino Adult Family Home hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Nino Adult Family Home was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.