CALLAWAY GARDENS MANAGEMENT WA LLC NPI 1003357096

NPI Information

  • NPI: 1003357096
  • Provider Name: CALLAWAY GARDENS MANAGEMENT WA LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CALLAWAY GARDENS ALZHEIMERS SPECIAL CARE CENTER
  • CLIA Number: 50D2293417
  • Address: 5505 W SKAGIT CT
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 783-5433

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NPI Details

CALLAWAY GARDENS MANAGEMENT WA LLC is an assisted living facility in Kennewick, WA. The provider is 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. CALLAWAY GARDENS MANAGEMENT WA LLC NPI is 1003357096. The provider is registered as an organization entity type.
The provider Is Doing Business As Callaway Gardens Alzheimers Special Care Center.

The provider's business location address is:

5505 W SKAGIT CT
KENNEWICK, WA
ZIP 99336-374
Phone: (509) 783-5433

The provider's authorized official is Trent Johnson .
The authorized official title is Manager and has the following contact phone number (469) 804-3716.

The CLIA number assigned to this NPI record is 50D2293417 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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