=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134000607
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KENT GARDENS 2 AFH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2025
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4235 S 248TH ST
-----------------------------------------------------
City | KENT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98032-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-627-5155
-----------------------------------------------------
Fax | 206-237-8571
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4235 S 248TH ST
-----------------------------------------------------
City | KENT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98032-1504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-627-5155
-----------------------------------------------------
Fax | 206-237-8571
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ENTITY REPRESENTATIVE
-----------------------------------------------------
Name | NAOMI NJOROGE
-----------------------------------------------------
Credential | CNA
-----------------------------------------------------
Telephone | 425-525-9864
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------