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WILDFLOWER LODGE
NPI 1043337843
Assisted Living Facility in La Grande, OR

Active since March 25, 2007CLIA 38D2196185 · Waiver
508 16TH ST, LA GRANDE, OR 97850(541) 663-1200(503) 485-1279 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wildflower Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDFLOWER LODGE (NPI 1043337843) is a healthcare organization registered as an assisted living facility in La Grande, Oregon and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Jon M Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1043337843
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLAGRANDE ASSISTED LIVING LLC
Location Address508 16TH STLa Grande, OR 97850-4400
Mailing AddressPo Box 3006Salem, OR 97302-0006 · (503) 375-9016 · Fax (503) 485-1279
Phone(541) 663-1200
Fax(503) 485-1279
Organization SubpartNo
Authorized OfficialJon M HarderManager · (503) 485-4600
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 23, 2008
✔ NPI 1043337843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OR · 1621801256
Definition
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.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License 1419410824 (OR)
508 16TH ST, La Grande, OR 97850
Open in Google Maps ↗

Other Names 1

Doing Business AsWildflower Lodge

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2196185

Wildflower Lodge Assisted Living Community · La Grande, OR
Active · expires Oct 14, 2026
CLIA Number38D2196185
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorEmily Taghon
Laboratory Phone(541) 663-1200
Laboratory LocationWildflower Lodge Assisted Living Community508 16th St, La Grande, OR 97850
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHR LA GRANDE OR ALF TRS SUB, LLC
Assisted Living Facility
508 16TH ST
LA GRANDE, OR 97850
Union County (541) 605-5629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lagrande Assisted Living LLC's NPI number?

The NPI number for Lagrande Assisted Living LLC is 1043337843. It was assigned to this organization in the NPPES registry on March 25, 2007. The provider is doing business as Wildflower Lodge.

Where is Lagrande Assisted Living LLC located?

Lagrande Assisted Living LLC is located at 508 16th St, La Grande, OR 97850. The listed phone number is (541) 663-1200.

What is Lagrande Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Lagrande Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2196185) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lagrande Assisted Living LLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.