Callaway Gardens Management Wa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CALLAWAY GARDENS MANAGEMENT WA LLC

Doing business as

Callaway Gardens Alzheimers Special Care Center

Practice address

5505 W Skagit CT
Kennewick, WA 99336-1374

Phone

(509) 783-5433

NPI assigned

Mar 10, 2017

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Trent Johnson

Title

Manager

Phone

(469) 804-3716

Specialties & licenses 1

Addresses

Other names 1

• Callaway Gardens Alzheimers Special Care Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1003357096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CRESCENT CT STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W SKAGIT CT",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361374",
            "telephone_number": "509-783-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY GARDENS MANAGEMENT WA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-804-3716"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callaway Gardens Alzheimers Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylie Isabelle Calderon
• Gloria Caldwell, CRISIS COUNSELOR
• Lacacia Calhoun
• Kenneth Scott Call, PT
• Sherry Ann Call, RN BSN
• Callaway Gardens Opco, LLC
• Callow Counseling & Consulting
• Robin Callow, MSW
• Jordan Calmes-Miller, PHARMD
• Jack C Calvert, LMP

• Assisted Living Facility in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.