Individual provider

Carol Pettibone

Adult Care Home Facility

Carol Pettibone is a provider specialising in Adult Care Home Facility in Walla Walla, WA, registered under NPI 1114704319. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1840 GRAY LYNN DR, Walla Walla, WA 99362. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1840 GRAY LYNN DR, Walla Walla, WA 99362 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
310601 WA Adult Care Home Facility primary

This provider holds licence 310601 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Adult Care Home covers

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NUCC Health Care Provider Taxonomy, code 311ZA0620X
Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114704319 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 11, 2023
Last updatedSep 11, 2023
StatusActive
Sole proprietorYes
Practice address 1840 GRAY LYNN DR
Walla Walla, WA 99362
(509) 529-3447
This record was updated on Sep 11, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1114704319 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 7 0 4 3 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 5 0 8 3 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114704319?
NPI 1114704319 is the National Provider Identifier assigned to Carol Pettibone in Walla Walla, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Care Home cover?
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
How do I contact Carol Pettibone?
The phone number on file with NPPES is (509) 529-3447, last updated Sep 11, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1114704319 a valid number?
Yes. 1114704319 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.