Organization Active NPI

Alpine Fairways Care Home LLC

  • Adult Care Home Facility
  • Auburn, WA
National Provider Identifier
1467327411
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ALPINE FAIRWAYS CARE HOME LLC
Practice address
30121 104TH Ave SE
Auburn, WA 98092-2541
Phone
(253) 406-7124
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Gurbinder Kaur
Title
Owner
Phone
(253) 406-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

30121 104TH Ave SE
Auburn, WA 98092-2541

Mailing address

30121 104TH Ave SE
Auburn, WA 98092-2541

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2337046Alpine Fairways Care Home30121 104TH Ave SE, Auburn, WA 98092Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1467327411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30121 104TH AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30121 104TH AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980922541",
            "telephone_number": "253-406-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE FAIRWAYS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "GURBINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-406-7124"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.