CALLAWAY GARDENS OPCO, LLC (NPI# 1134778830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134778830 |
| Entity Type | Organization |
| Organization Name | CALLAWAY GARDENS OPCO, LLC |
| Practice Address |
5505 W Skagit Ct Kennewick WA 99336-1374 |
| Mailing Address |
5101 Ne 82nd Ave Ste 200 Vancouver WA 98662-6343 |
| Practice Telephone | 5097366367 |
| Mailing Telephone | 3609842634 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | CHARMENE HERNANDEZ (DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 3609842634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
5505 W SKAGIT CT |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-1374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357096 | Callaway Gardens Management Wa LLC | Assisted Living Facility | 5505 W Skagit Ct, Kennewick, WA 99336-1374 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027114 | Bfg Kennewick Master Tenant, LLC | Assisted Living Facility | 575 N Young St, Kennewick, WA 99336-7806 | 2018-03-23 |
| 1225532419 | Bfg Kennewick Master Tenant, LLC | Assisted Living Facility | 7255 W Grandridge Blvd, Kennewick, WA 99336-7742 | 2018-03-21 |
| 1003357096 | Callaway Gardens Management Wa LLC | Assisted Living Facility | 5505 W Skagit Ct, Kennewick, WA 99336-1374 | 2017-03-10 |
| 1891236881 | Royal Columbian Management Wa LLC | Assisted Living Facility | 5615 W Umatilla Ave, Kennewick, WA 99336-1367 | 2017-03-10 |
| 1992195259 | Assisted Living Concepts, LLC | Assisted Living Facility | 1108 W 5th Ave, Kennewick, WA 99336-7002 | 2015-01-26 |
| 1215053855 | Assisted Living Concepts Inc | Assisted Living Facility | 1108 W Fifth Avenue, Kennewick, WA 99336 | 2007-03-22 |
| 1447696182 | Pacwest Kennewick LLC | Assisted Living Facility | 7820 W 6th Ave, Kennewick, WA 99336-9447 | 2013-05-21 |
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| 1568089472 | Living Court Ventures, L.L.C. | Assisted Living Facility | 2229 Jensen St, Enumclaw, WA 98022-3639 | 2020-06-26 |
| 1154948065 | Sullivan Cottages, L.L.C. | Assisted Living Facility | 411 S Adams Rd, Spokane Valley, WA 99216-2287 | 2020-06-26 |
| 1104443001 | Gig Harbor Ventures, L.L.C. | Assisted Living Facility | 3025 14th Ave Nw, Gig Harbor, WA 98335-1635 | 2020-06-26 |
| 1609493519 | Wenatchee Alf Ventures, L.L.C. | Assisted Living Facility | 601 Okanogan Ave, Wenatchee, WA 98801-6414 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.