KENNYDALE HILLS ADULT FAMILY HOME NPI 1376714279

NPI Information

KENNYDALE HILLS ADULT FAMILY HOME is an adult care home custodial care facility in Renton, WA. The provider is 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. KENNYDALE HILLS ADULT FAMILY HOME NPI is 1376714279. The provider is registered as an organization entity type.

The provider's business location address is:

1615 EDMONDS AVE NE
RENTON, WA
ZIP 98056-716
Phone: (425) 204-1810

The provider's authorized official is Jowhara Mohamed .
The authorized official title is Provider and has the following contact phone number (425) 204-1810.

The CLIA number assigned to this NPI record is 50D2291582 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 3/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.