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VANCOUVER SENIOR LIVING LLC NPI 1992825921


NPI Information

NPI: 1992825921
Provider Name: VANCOUVER SENIOR LIVING, LLC

Doing Business As: FISHER'S LANDING ASSISTED LIVING COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 50D2018585

Address:
17171 SE 22ND DR
VANCOUVER, WA
ZIP 98683
Phone: (360) 885-1400
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VANCOUVER SENIOR LIVING, LLC is an assisted living facility in Vancouver, 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. VANCOUVER SENIOR LIVING, LLC NPI is 1992825921. The provider is registered as an organization entity type.
The provider Is Doing Business As Fisher's Landing Assisted Living Community.

The provider's business location address is:

17171 SE 22ND DR
VANCOUVER, WA
ZIP 98683-309
Phone: (360) 885-1400

The provider's authorized official is Jon Harder .
The authorized official title is Manager and has the following contact phone number (503) 485-4600.

The CLIA number assigned to this NPI record is 50D2018585 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityBH 1847WASHINGTONYes

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: 4/28/2024

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