Organization Active NPI

A Part of Our Family

  • Adult Care Home Facility
  • Kennewick, WA
National Provider Identifier
1548047061
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
A PART OF OUR FAMILY
Practice address
2618 W 10TH Ave
Kennewick, WA 99336-4814
Phone
(509) 591-2803
Fax
(509) 591-0920
NPI assigned
Sep 8, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Mrs. Cindy Ann Stover
Title
Owner
Phone
(509) 591-2803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

2618 W 10TH Ave
Kennewick, WA 99336-4814

Mailing address

2618 W 10TH Ave
Kennewick, WA 99336-4814
Phone (509) 591-2803

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
50D2255561A Part of Our Family2618 W 10TH 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": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1548047061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364814",
            "telephone_number": "509-591-2803",
            "fax_number": "509-591-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364814",
            "telephone_number": "509-591-2803",
            "fax_number": "509-591-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PART OF OUR FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-591-2803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "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 Sep 8, 2023; 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.