Provider Demographics
NPI:1619934999
Name:THE KENNEY
Entity Type:Organization
Organization Name:THE KENNEY
Other - Org Name:THE KENNEY NURSING AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-933-2783
Mailing Address - Street 1:7125 FAUNTLEROY WAY SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-2008
Mailing Address - Country:US
Mailing Address - Phone:206-937-2800
Mailing Address - Fax:209-938-6940
Practice Address - Street 1:7125 FAUNTLEROY WAY SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-2008
Practice Address - Country:US
Practice Address - Phone:206-937-2800
Practice Address - Fax:206-938-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
314000000X
WA241314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4124103Medicaid
WA505466Medicare Oscar/Certification
WA4124103Medicaid