Normandy Park Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

NORMANDY PARK SENIOR LIVING, LLC

Doing business as

Normandy Park Senior Living

Practice address

16625 1St Ave S
Burien, WA 98148-1427

Phone

(206) 241-0821

NPI assigned

Apr 23, 2025

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Wolkin

Title

Manager

Phone

(360) 319-6536

Specialties & licenses 1

Addresses

Other names 1

• Normandy Park Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1306633102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16625 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16625 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481427",
            "telephone_number": "206-241-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY PARK SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WOLKIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-319-6536"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Normandy Park Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivian Chizoba Nkwonta, M.D.
• Jeanne Noel, RN
• Joel Nofziger, RN
• Richard Y. Nomura, DDS
• Normandy Park Assisted Living, LLC
• Angelia Northam
• Northwest Samartians
• Geraldine M Nosho
• Kayla Marie Null-Gracia
• Nurtured Nutrition PLLC

• Assisted Living Facility in Burien, WA
• Providers in Burien, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.