Healthcare Provider Details

I. General information

NPI: 1154238418
Provider Name (Legal Business Name): KENT LOVING CARE HOMES AFH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25225 32ND PL S
KENT WA
98032-5653
US

IV. Provider business mailing address

25225 32ND PL S
KENT WA
98032-5653
US

V. Phone/Fax

Practice location:
  • Phone: 206-504-0880
  • Fax: 206-212-4952
Mailing address:
  • Phone: 206-504-0880
  • Fax: 206-212-4952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ATSEDE M YIGREM
Title or Position: OWNER / LICENSED PROVIDER
Credential: YIGREM
Phone: 206-504-0880