1405 S. MONROE STREET OPERATIONS LLC NPI 1811938400

NPI Information

  • NPI: 1811938400
  • Provider Name: 1405 S. MONROE STREET OPERATIONS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: MONROE HOUSE
  • CLIA Number: 50D2247343
  • Address: 1405 S MONROE ST
    MOSES LAKE, WA
    ZIP 98837
  • Phone: (509) 765-2200

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NPI Details

1405 S. MONROE STREET OPERATIONS LLC is an assisted living facility in Moses Lake, WA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. 1405 S. MONROE STREET OPERATIONS LLC NPI is 1811938400. The provider is registered as an organization entity type.
The provider Is Doing Business As Monroe House.

The provider's business location address is:

1405 S MONROE ST
MOSES LAKE, WA
ZIP 98837-628
Phone: (509) 765-2200
Fax: (509) 765-9622

The provider's authorized official is Michael T Berg .
The authorized official title is Vp Asst Secretary and has the following contact phone number (505) 468-4742.

The CLIA number assigned to this NPI record is 50D2247343 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 2/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityBH1286WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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