Organization Active NPI

Golden Park Lane Afh, LLC

  • Adult Care Home Facility
  • Federal Way, WA
National Provider Identifier
1760311005
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOLDEN PARK LANE AFH, LLC
Practice address
34628 14TH PL SW
Federal Way, WA 98023-7038
Phone
(763) 291-2694
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Martin Gitau
Title
Manager
Phone
(763) 291-2694

Specialties & licenses 1

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

Addresses

Primary practice location

34628 14TH PL SW
Federal Way, WA 98023-7038

Mailing address

34628 14TH PL SW
Federal Way, WA 98023-7038

National Provider Directory

National Provider Directory
Tax ID family
Golden Park Lane Afh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1760311005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34628 14TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34628 14TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237038",
            "telephone_number": "763-291-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PARK LANE AFH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GITAU",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-291-2694"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.