KENNYDALE HILLS ADULT FAMILY HOME
NPI 1376714279
Custodial Care Facility - Adult Care Home in Renton, WA

Q: What is Kennydale Hills Adult Family Home's NPI number?

The NPI number for Kennydale Hills Adult Family Home is 1376714279. It was assigned to this organization in the NPPES registry on March 18, 2008.

Q: What is Kennydale Hills 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.

Active since March 18, 2008

1615 EDMONDS AVE NE, RENTON, WA 98056(425) 204-1810 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kennydale Hills Adult Family Home NPPES

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

KENNYDALE HILLS ADULT FAMILY HOME (NPI 1376714279) is a healthcare organization registered as an adult care home in Renton, Washington and active in the NPI registry since March 2008. The organization lists Jowhara Mohamed, Provider, as its authorized official.

NPPES Registry Identity

NPI1376714279

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameKENNYDALE HILLS ADULT FAMILY HOME

Location Address1615 EDMONDS AVE NERenton, WA 98056-2716

Mailing Address1615 Edmonds Ave NeRenton, WA 98056-2716

Phone(425) 204-1810

Organization SubpartNo

Authorized OfficialJowhara MohamedProvider · (425) 204-1810

Enumeration DateMarch 18, 2008

✔ NPI 1376714279 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 · 750184

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.

1615 EDMONDS AVE NE, Renton, WA 98056

Open in Google Maps ↗

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 Kennydale Hills Adult Family Home's NPI number?

The NPI number for Kennydale Hills Adult Family Home is 1376714279. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Kennydale Hills Adult Family Home located?

Kennydale Hills Adult Family Home is located at 1615 Edmonds Ave NE, Renton, WA 98056. The listed phone number is (425) 204-1810.

What is Kennydale Hills 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.

When was this NPI record last updated?

The NPPES record for Kennydale Hills Adult Family Home was last updated on March 18, 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.