Organization Active NPI

BTR LLC

Doing business as Elysian Estates Adult Family Home

  • Assisted Living Facility
  • Kennewick, WA
National Provider Identifier
1326856550
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BTR LLC
Doing business as
Elysian Estates Adult Family Home
Practice address
3174 W Payette Ave
Kennewick, WA 99336-1548
Phone
(509) 396-3887
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Tyler Allan Roberts
Title
Co-Owner
Phone
(509) 851-7978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3174 W Payette Ave
Kennewick, WA 99336-1548

Mailing address

3174 W Payette Ave
Kennewick, WA 99336-1548
Phone (509) 396-3887

Other names 1

  • Elysian Estates Adult Family Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2335950Elysian Estates3174 W Payette Ave, Kennewick, WA 99336Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1326856550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 W PAYETTE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361548",
            "telephone_number": "509-396-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 W PAYETTE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361548",
            "telephone_number": "509-396-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BTR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "509-851-7978"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Estates Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.