NORMANDY PARK SENIOR LIVING, LLC
NPI 1306633102
Assisted Living Facility in Burien, WA

Active since April 23, 2025CLIA 50D2256345 · Waiver
16625 1ST AVE S, BURIEN, WA 98148(206) 241-0821 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Normandy Park Senior Living, Llc NPPES

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

NORMANDY PARK SENIOR LIVING, LLC (NPI 1306633102), doing business as Normandy Park Senior Living, is a healthcare organization registered as an assisted living facility in Burien, Washington and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Peter Wolkin, Manager, as its authorized official.

NPPES Registry Identity

NPI1306633102
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORMANDY PARK SENIOR LIVING, LLC
Location Address16625 1ST AVE SBurien, WA 98148-1427
Mailing Address16625 1st Ave SBurien, WA 98148-1427
Organization SubpartNo
Authorized OfficialPeter WolkinManager · (360) 319-6536
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1306633102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
16625 1ST AVE S, Burien, WA 98148

Other Names 1

Doing Business AsNormandy Park Senior Living

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 50D2256345

Normandy Park Senior Living · Normandy Park, WA
Active · expires Apr 4, 2028
CLIA Number50D2256345
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 23, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWendy Berg
Laboratory Phone(206) 241-0821
Laboratory LocationNormandy Park Senior Living16625 1st Ave S, Normandy Park, WA 98148
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
16625 1ST AVE S
BURIEN, WA 98148
Assisted Living Facility
16625 1ST AVE S
BURIEN, WA 98148

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 Normandy Park Senior Living, LLC's NPI number?

The NPI number for Normandy Park Senior Living, LLC is 1306633102. It was assigned to this organization in the NPPES registry on April 23, 2025. The provider is doing business as Normandy Park Senior Living.

Where is Normandy Park Senior Living, LLC located?

Normandy Park Senior Living, LLC is located at 16625 1st Ave S, Burien, WA 98148. The listed phone number is (206) 241-0821.

What is Normandy Park Senior Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Normandy Park Senior Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2256345) 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 Normandy Park Senior Living, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.