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SUNDANCE ADULT FAMILY HOME
NPI 1629785159
Custodial Care Facility - Adult Care Home in Spokane, WA

Active since November 03, 2022CLIA 50D2318115 · Waiver
10216 N SUNDANCE DR, SPOKANE, WA 99208(509) 315-5779(509) 984-6291 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2022, Nov 3, 2022 (2 updates tracked since 2022).

About Sundance Adult Family Home NPPES

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

SUNDANCE ADULT FAMILY HOME (NPI 1629785159) is a healthcare organization registered as an adult care home in Spokane, Washington and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Susan Mwiklai Waweru, Manager, as its authorized official.

NPPES Registry Identity

NPI1629785159
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSUNDANCE ADULT FAMILY HOME LLC
Location Address10216 N SUNDANCE DRSpokane, WA 99208-9315
Mailing Address10216 N Sundance DrSpokane, WA 99208-9315 · (509) 315-5779 · Fax (509) 984-6291
Phone(509) 315-5779
Fax(509) 984-6291
Organization SubpartNo
Authorized OfficialSusan Mwiklai WaweruManager · (508) 612-3875
Enumeration DateNovember 3, 2022
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1629785159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
10216 N SUNDANCE DR, Spokane, WA 99208
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Other Names 1

Doing Business AsSundance Adult Family Home

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 50D2318115

Sundance Adult Family Home LLC · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2318115
Laboratory TypeAfh
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Waweru
Laboratory Phone(509) 315-5779
Laboratory LocationSundance Adult Family Home LLC10216 N Sundance Dr, Spokane, WA 99208
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SUSAN WAWERU
Registered Nurse
10216 N SUNDANCE DR
SPOKANE, WA 99208
Spokane County (508) 612-3875

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 Sundance Adult Family Home LLC's NPI number?

The NPI number for Sundance Adult Family Home LLC is 1629785159. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is doing business as Sundance Adult Family Home.

Where is Sundance Adult Family Home LLC located?

Sundance Adult Family Home LLC is located at 10216 N Sundance Dr, Spokane, WA 99208. The listed phone number is (509) 315-5779.

What is Sundance Adult Family Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Sundance Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2318115) 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 Sundance Adult Family Home LLC was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.