Walla Walla Al, LLC
NPI 1124954011ActiveOrganization· Assisted Living Facility· Walla Walla, WA
Assisted Living Facility in Walla Walla, Washington, registered in NPPES in June 2026. The authorized official on file is Alida Raynor, RN, Clinical Compliance.
Overview
| NPI | 1124954011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2026 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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