Organization Active NPI

Glenhaven Adult Family Home Marcia LLC

  • Home Health Agency
  • Pullman, WA
National Provider Identifier
1972483279
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 5, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.