SPRING ESTATES SENIOR LIVING COMMUNITY
NPI 1619195229
Assisted Living Facility in Kenmore, WA

Active since April 22, 2007CLIA 50D0972044 · Waiver
7221 NE 182ND ST, KENMORE, WA 98028(425) 481-4200 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Spring Estates Senior Living Community NPPES

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

SPRING ESTATES SENIOR LIVING COMMUNITY (NPI 1619195229) is a healthcare organization registered as an assisted living facility in Kenmore, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jon M Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1619195229
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKENMORE SENIOR LIVING LLC
Location Address7221 NE 182ND STKenmore, WA 98028-2797
Mailing AddressPo Box 3006Salem, OR 97302-0006 · (503) 375-9016 · Fax (503) 485-1279
Organization SubpartNo
Authorized OfficialJon M HarderManager · (503) 375-9016
Enumeration DateApril 22, 2007
Last NPPES UpdateJuly 25, 2008
NPI 1619195229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WA · 1911
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 1911 (WA)
7221 NE 182ND ST, Kenmore, WA 98028

Other Names 1

Doing Business AsSpring Estates Senior Living Community

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 50D0972044

Kenmore Senior Living · Kenmore, WA
Active · expires Apr 4, 2028
CLIA Number50D0972044
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorIvonne Awuy
Laboratory Phone(425) 481-4200
Laboratory LocationKenmore Senior Living7221 NE 182nd St, Kenmore, WA 98028
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.

Assisted Living Facility
7221 NE 182ND ST
KENMORE, WA 98028

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 Kenmore Senior Living LLC's NPI number?

The NPI number for Kenmore Senior Living LLC is 1619195229. It was assigned to this organization in the NPPES registry on April 22, 2007. The provider is doing business as Spring Estates Senior Living Community.

Where is Kenmore Senior Living LLC located?

Kenmore Senior Living LLC is located at 7221 NE 182nd St, Kenmore, WA 98028. The listed phone number is (425) 481-4200.

What is Kenmore Senior Living LLC's specialty?

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

Does Kenmore Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0972044) 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 Kenmore Senior Living LLC was last updated on July 25, 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.