OrganizationActive
Mountain Palms Manor Adult Family Home LLC
NPI 1801517842 · Adult Care Home Facility · University Place, WA
Provider details
- NPI number
- 1801517842
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Kinyua, Owner(803) 661-0208
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5120 84th Ave W
University Place, WA 98467-1826
Phone: (803) 661-0208
Fax: (253) 240-1976
Street-level locationGet directions
Mailing address
5120 84th Ave W
University Place, WA 98467-1826
Registry dates
- Enumerated
- 2022-09-08
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.