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

HOMESTEAD PARK AFH LLC
NPI 1912819749
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since September 17, 2026CLIA 50D2305564 · Waiver
1821 SE SOLOMON LOOP, VANCOUVER, WA 98683(360) 721-6666(360) 334-9955 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Homestead Park Afh Llc NPPES

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

HOMESTEAD PARK AFH LLC (NPI 1912819749) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since September 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Iann Barrantes-ramirez, Owner, as its authorized official.

NPPES Registry Identity

NPI1912819749
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHOMESTEAD PARK AFH LLC
Location Address1821 SE SOLOMON LOOPVancouver, WA 98683-4631
Mailing Address1821 Se Solomon LoopVancouver, WA 98683-4631 · (360) 721-6666 · Fax (360) 334-9955
Phone(360) 721-6666
Fax(360) 334-9955
Organization SubpartNo
Authorized OfficialIann Barrantes-ramirezOwner · (360) 721-6666
Enumeration DateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1912819749 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.
1821 SE SOLOMON LOOP, Vancouver, WA 98683
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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 50D2305564

Homestead Park Afh LLC · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2305564
Laboratory TypeAfh
Certificate Effective DateJune 3, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorIann B. Ramirez
Laboratory Phone(360) 721-6666
Laboratory LocationHomestead Park Afh LLC1821 SE Solomon Loop, Vancouver, WA 98683
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLERESTORIE LLC
Custodial Care Facility (Adult Care Home)
1821 SE SOLOMON LOOP
VANCOUVER, WA 98683
Clark County (360) 260-9002

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 Homestead Park Afh LLC's NPI number?

The NPI number for Homestead Park Afh LLC is 1912819749. It was assigned to this organization in the NPPES registry on September 17, 2026.

Where is Homestead Park Afh LLC located?

Homestead Park Afh LLC is located at 1821 SE Solomon Loop, Vancouver, WA 98683. The listed phone number is (360) 721-6666.

What is Homestead Park 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 Homestead Park Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2305564) 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 Homestead Park Afh LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.