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THE COURTYARD AT COLFAX
NPI 1023121340
Assisted Living Facility in Colfax, WA

Active since August 17, 2006CLIA 50D2250625 · Waiver
300 S MAIN ST, COLFAX, WA 99111(509) 397-6123(509) 397-6367 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Courtyard At Colfax NPPES

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

THE COURTYARD AT COLFAX (NPI 1023121340) is a healthcare organization registered as an assisted living facility in Colfax, Washington and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Shauna J. Miller, President, as its authorized official.

NPPES Registry Identity

NPI1023121340
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLIBERTY DEVELOPMENT COMPANY, LLC
Location Address300 S MAIN STColfax, WA 99111-1971
Mailing Address300 S Main StColfax, WA 99111-1971 · (509) 397-6123 · Fax (509) 397-6367
Phone(509) 397-6123
Fax(509) 397-6367
Organization SubpartNo
Authorized OfficialShauna J. MillerPresident · (208) 772-2743
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023121340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WA · BH 1624
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.
300 S MAIN ST, Colfax, WA 99111
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Other Names 1

Doing Business AsThe Courtyard At Colfax

Other Identifiers 2

OtherBH 1624WA · Wa Boarding Home Provider
Medicaid865214WA

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 50D2250625

The Courtyard At Colfax · Colfax, WA
Active · expires Apr 4, 2028
CLIA Number50D2250625
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 27, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLeslie King
Laboratory Phone(509) 397-6123
Laboratory LocationThe Courtyard At Colfax300 S Main St, Colfax, WA 99111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Liberty Development Company, LLC's NPI number?

The NPI number for Liberty Development Company, LLC is 1023121340. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as The Courtyard At Colfax.

Where is Liberty Development Company, LLC located?

Liberty Development Company, LLC is located at 300 S Main St, Colfax, WA 99111. The listed phone number is (509) 397-6123.

What is Liberty Development Company, LLC's specialty?

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

Does Liberty Development Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2250625) 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 Liberty Development Company, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.