Organization Active NPI

Keller LN Adult Family Home LLC

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1730084443
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
KELLER LN ADULT FAMILY HOME LLC
Practice address
3832 S Keller LN
Spokane, WA 99206-1216
Phone
(509) 798-8999
Fax
(509) 798-8650
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Ms. Zipporah Determan
Title
Owner
Phone
(509) 798-8999

Specialties & licenses 1

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

Addresses

Primary practice location

3832 S Keller LN
Spokane, WA 99206-1216

Mailing address

3832 S Keller LN
Spokane, WA 99206-1216
Phone (509) 798-8999

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1730084443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 S KELLER LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992061216",
            "telephone_number": "509-798-8999",
            "fax_number": "509-798-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 S KELLER LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992061216",
            "telephone_number": "509-798-8999",
            "fax_number": "509-798-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER LN ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "DETERMAN",
        "authorized_official_first_name": "ZIPPORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-798-8999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.