DOVE ESTATES SENIOR LIVING COMMUNITY
NPI 1386001857
Assisted Living Facility in Goddard, KS

Active since January 28, 2016CLIA 17D2332636 · Waiver
1400 S 183RD ST W, GODDARD, KS 67052(316) 550-6343(316) 550-6467 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dove Estates Senior Living Community NPPES

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

DOVE ESTATES SENIOR LIVING COMMUNITY (NPI 1386001857) is a healthcare organization registered as an assisted living facility in Goddard, Kansas and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Jacqueline Jadidian, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386001857
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDOVE ESTATES SENIOR LIVING COMMUNITY
Location Address1400 S 183RD ST WGoddard, KS 67052-9357
Mailing Address1400 S 183rd St WGoddard, KS 67052-9357 · (316) 550-6343 · Fax (316) 550-6467
Fax(316) 550-6467
Organization SubpartNo
Authorized OfficialJacqueline JadidianExecutive Director · (316) 550-6343
Enumeration DateJanuary 28, 2016
NPI 1386001857 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 KS · N087082
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.
1400 S 183RD ST W, Goddard, KS 67052

Other Identifiers 1

Medicaid201115690AKS

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 17D2332636

Dove Estates Senior Living · Goddard, KS
Active · expires Oct 21, 2027
CLIA Number17D2332636
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorSheena Sobba
Laboratory Phone(316) 550-6343
Laboratory LocationDove Estates Senior Living1400 S 183rd St W, Goddard, KS 67052
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 Dove Estates Senior Living Community's NPI number?

The NPI number for Dove Estates Senior Living Community is 1386001857. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Dove Estates Senior Living Community located?

Dove Estates Senior Living Community is located at 1400 S 183rd St W, Goddard, KS 67052. The listed phone number is (316) 550-6343.

What is Dove Estates Senior Living Community's specialty?

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

Does Dove Estates Senior Living Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2332636) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dove Estates Senior Living Community was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.