GREENACRES RESIDENTIAL CARE , LLC
NPI 1073226700
Community/Behavioral Health in Spokane Valley, WA

Active since December 27, 2022CLIA 50D2326665 · Waiver
17927 E APPLEWAY AVE, SPOKANE VALLEY, WA 99016(509) 200-1455 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenacres Residential Care , Llc NPPES

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

GREENACRES RESIDENTIAL CARE , LLC (NPI 1073226700), doing business as Greenacres Residential Care, is a healthcare organization registered as a community/behavioral health in Spokane Valley, Washington and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Edith Sembeka Corson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073226700
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGREENACRES RESIDENTIAL CARE , LLC
Location Address17927 E APPLEWAY AVESpokane Valley, WA 99016-9302
Mailing Address23033 E Broadway AveLiberty Lake, WA 99019-7505 · (509) 200-1455
Organization SubpartNo
Authorized OfficialEdith Sembeka CorsonCeo · (509) 200-1455
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1073226700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

17927 E APPLEWAY AVE, Spokane Valley, WA 99016

Other Names 1

Doing Business AsGreenacres Residential Care

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 50D2326665

Greenacres Residential Care Facility · Spokane Valley, WA
Active · expires Apr 4, 2028
CLIA Number50D2326665
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephanie Kilpatrick
Laboratory Phone(509) 321-7632
Laboratory LocationGreenacres Residential Care Facility17927 E Appleway Ave, Spokane Valley, WA 99016
CLIA data matches this NPI record on: Address Name
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 Greenacres Residential Care , LLC's NPI number?

The NPI number for Greenacres Residential Care , LLC is 1073226700. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as Greenacres Residential Care.

Where is Greenacres Residential Care , LLC located?

Greenacres Residential Care , LLC is located at 17927 E Appleway Ave, Spokane Valley, WA 99016. The listed phone number is (509) 200-1455.

What is Greenacres Residential Care , LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Greenacres Residential Care , LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2326665) 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 Greenacres Residential Care , LLC was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.