Organization Active NPI

LTCC Kennewick Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Kennewick, WA
National Provider Identifier
1083402978
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LTCC KENNEWICK INC
Practice address
7319 W Hood PL
Kennewick, WA 99336-6706
Phone
(206) 326-0155
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Charanpreet Gill
Title
Owner
Phone
(206) 326-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

7319 W Hood PL
Kennewick, WA 99336-6706

Mailing address

95 S Tobin St Ste 100
Renton, WA 98057-5324

National Provider Directory

National Provider Directory

Locations

7319 W Hood Pl
Kennewick, WA 99336
Phone (206) 326-0155

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1083402978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S TOBIN ST STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 W HOOD PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366706",
            "telephone_number": "206-326-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTCC KENNEWICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CHARANPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-326-0155"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.