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: July 19, 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
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

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

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

The NPI number assigned to this healthcare provider is 1023121340, enumerated as an "organization" on August 17, 2006.

The provider is located at 300 S MAIN ST COLFAX, WA 99111 and the phone number is (509) 397-6123.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.