Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLER LN ADULT FAMILY HOME LLC
NPI 1730084443
Custodial Care Facility - Adult Care Home in Spokane, WA

Q: What is Keller Ln Adult Family Home LLC's NPI number?

The NPI number for Keller Ln Adult Family Home LLC is 1730084443. It was assigned to this organization in the NPPES registry on October 12, 2026.

Q: What is Keller Ln 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.

Active since October 12, 2026CLIA 50D2351822 · Waiver

3832 S KELLER LN, SPOKANE, WA 99206(509) 798-8999(509) 798-8650 Get Directions Write a Review

NPPES record added: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Keller Ln Adult Family Home Llc NPPES

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

KELLER LN ADULT FAMILY HOME LLC (NPI 1730084443) is a healthcare organization registered as an adult care home in Spokane, Washington and active in the NPI registry since October 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Zipporah Determan, Owner, as its authorized official.

NPPES Registry Identity

NPI1730084443

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameKELLER LN ADULT FAMILY HOME LLC

Location Address3832 S KELLER LNSpokane, WA 99206-1216

Mailing Address3832 S Keller LnSpokane, WA 99206-1216 · (509) 798-8999 · Fax (509) 798-8650

Phone(509) 798-8999

Fax(509) 798-8650

Organization SubpartNo

Authorized OfficialZipporah DetermanOwner · (509) 798-8999

Enumeration DateOctober 12, 2026

NPPES CertifiedOctober 12, 2026

✔ NPI 1730084443 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.

3832 S KELLER LN, Spokane, WA 99206

Open in Google Maps ↗

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 50D2351822

Keller Ln Adult Family Home · Spokane, WA

Active · expires Apr 4, 2028

CLIA Number50D2351822

Laboratory TypeAfh

Certificate Effective DateOctober 2, 2026

Certificate Expiration DateApril 4, 2028

Laboratory DirectorZipporah Determan

Laboratory Phone(509) 798-8999

Laboratory LocationKeller Ln Adult Family Home3832 S Keller Ln, Spokane, WA 99206

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 Keller Ln Adult Family Home LLC's NPI number?

The NPI number for Keller Ln Adult Family Home LLC is 1730084443. It was assigned to this organization in the NPPES registry on October 12, 2026.

Where is Keller Ln Adult Family Home LLC located?

Keller Ln Adult Family Home LLC is located at 3832 S Keller Ln, Spokane, WA 99206. The listed phone number is (509) 798-8999.

What is Keller Ln 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 Keller Ln Adult Family Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2351822) 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 Keller Ln Adult Family Home LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.