CALLAWAY GARDENS ALZHEIMERS SPECIAL CARE CENTER
NPI 1003357096
Assisted Living Facility in Kennewick, WA

Active since March 10, 2017CLIA 50D2293417 · Waiver
5505 W SKAGIT CT, KENNEWICK, WA 99336(509) 783-5433 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Callaway Gardens Alzheimers Special Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLAWAY GARDENS ALZHEIMERS SPECIAL CARE CENTER (NPI 1003357096) is a healthcare organization registered as an assisted living facility in Kennewick, Washington and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Trent Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1003357096
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCALLAWAY GARDENS MANAGEMENT WA LLC
Location Address5505 W SKAGIT CTKennewick, WA 99336-1374
Mailing Address200 Crescent Ct Ste 440Dallas, TX 75201-6964
Organization SubpartNo
Authorized OfficialTrent JohnsonManager · (469) 804-3716
Enumeration DateMarch 10, 2017
NPI 1003357096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
5505 W SKAGIT CT, Kennewick, WA 99336

Other Names 1

Doing Business AsCallaway Gardens Alzheimers Special Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2293417

Callaway Gardens Opco · Kennewick, WA
Active · expires Apr 4, 2028
CLIA Number50D2293417
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 8, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLaura Riojas
Laboratory Phone(509) 783-5433
Laboratory LocationCallaway Gardens Opco5505 W Skagit Ct, Kennewick, WA 99336
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
5505 W SKAGIT CT
KENNEWICK, WA 99336
Nurse's Aide
5505 W SKAGIT CT
KENNEWICK, WA 99336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Callaway Gardens Management Wa LLC's NPI number?

The NPI number for Callaway Gardens Management Wa LLC is 1003357096. It was assigned to this organization in the NPPES registry on March 10, 2017. The provider is doing business as Callaway Gardens Alzheimers Special Care Center.

Where is Callaway Gardens Management Wa LLC located?

Callaway Gardens Management Wa LLC is located at 5505 W Skagit Ct, Kennewick, WA 99336. The listed phone number is (509) 783-5433.

What is Callaway Gardens Management Wa LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Callaway Gardens Management Wa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2293417) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Callaway Gardens Management Wa LLC was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.