Active NPI
Glenhaven Adult Family Home Marcia LLC
- Home Health Agency
- Pullman, WA
National Provider Identifier
1972483279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GLENHAVEN ADULT FAMILY HOME MARCIA LLC
- Practice address
- 2510 NW Parr Dr
Pullman, WA 99163-3686 - Phone
- (509) 432-1169
- Fax
- (509) 338-0595
- NPI assigned
- Sep 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorna Milanoi Shompole, CNA
- Title
- Provider
- Phone
- (509) 432-1169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2510 NW Parr Dr
Pullman, WA 99163-3686
Mailing address
PO Box 1167
Pullman, WA 99163-1167
Phone (509) 432-1169
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1972483279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1167",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991631167",
"telephone_number": "509-432-1169",
"fax_number": "509-338-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 NW PARR DR",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633686",
"telephone_number": "509-432-1169",
"fax_number": "509-338-0595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENHAVEN ADULT FAMILY HOME MARCIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "SHOMPOLE",
"authorized_official_first_name": "LORNA",
"authorized_official_middle_name": "MILANOI",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "509-432-1169",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.