Organization Active NPI

Gladness & Ilya Adult Family Home LLC

  • Assisted Living Facility
  • Renton, WA
National Provider Identifier
1558272419
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GLADNESS & ILYA ADULT FAMILY HOME LLC
Practice address
1724 SE 30TH PL
Renton, WA 98055-5201
Phone
(425) 757-7425
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Ilya Gladkov
Title
Provider/ Owner
Phone
(425) 757-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1724 SE 30TH PL
Renton, WA 98055-5201

Mailing address

1724 SE 30TH PL
Renton, WA 98055-5201
Phone (425) 757-7425

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1558272419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 SE 30TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555201",
            "telephone_number": "425-757-7425",
            "fax_number": "425-572-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 SE 30TH PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555201",
            "telephone_number": "425-757-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADNESS & ILYA ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "GLADKOV",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "425-757-7425"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.