Kenmore Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1911 Issued in WA

Legal business name

KENMORE SENIOR LIVING LLC

Doing business as

Spring Estates Senior Living Community

Practice address

7221 NE 182ND St
Kenmore, WA 98028-2797

Phone

(425) 481-4200

NPI assigned

Apr 22, 2007

Last updated

Jul 25, 2008By 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

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 3

Addresses

Other names 1

• Spring Estates Senior Living Community Doing business as

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1619195229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 NE 182ND ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282797",
            "telephone_number": "425-481-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "1911",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "WA",
            "license": "1911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Estates Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer S Emerson D.D.S., P.L.L.C. (North Seattle Restorative and Preventative Dentistry)
• Bailey Jensen, MSW, LICSW
• Jordan Marie Johnsen, RDH
• Celeste Marie Johnson
• Ya Li Kelly
• Molly L Keys, ND
• Connor Kirchhof
• Matthew Kresken
• Autumn Claire Kriofske
• Rajni Samyuktha Krishna, RDN, CDCES

• Assisted Living Facility in Kenmore, WA
• Providers in Kenmore, 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 Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.