Individual provider Active NPI

Kenneth Ramenya Olaka

  • Assisted Living Facility
  • Lynnwood, WA
National Provider Identifier
1376447045
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
757179 Issued in WA
Practice address
19330 24TH Ave W
Lynnwood, WA 98036-4812
Phone
(425) 240-9685
Fax
(360) 294-7825
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 757179 WA Primary

Addresses

Primary practice location

19330 24TH Ave W
Lynnwood, WA 98036-4812

Mailing address

19330 24TH Ave W
Lynnwood, WA 98036-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1376447045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 24TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 24TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364812",
            "telephone_number": "425-240-9685",
            "fax_number": "360-294-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAKA",
        "first_name": "KENNETH",
        "middle_name": "RAMENYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "757179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.