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: July 19, 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.Information from the official NPPES registry record, last updated July 23, 2008.

NPPES Registry Identity

NPI1043337843
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Assisted Living Facility

Taxonomy 310400000X · Nursing & Custodial Care Facilities

Licensed in OR · 1621801256

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… Show more

Also Listed

Alzheimer Center (Dementia Center)

Taxonomy 311500000X · Nursing & Custodial Care Facilities

Licensed in OR · 1419410824
508 16TH ST, La Grande, OR 97850

Also on File with NPPES

Other Names1
Wildflower Lodge (Doing Business As)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2196185
Facility Type
Assisted Living Facility
Certificate Effective Date
October 15, 2024
Certificate Expiration Date
October 14, 2026
Laboratory Director
EMILY TAGHON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wildflower Lodge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
508 16TH ST
LA GRANDE, OR 97850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043337843, enumerated as an "organization" on March 25, 2007.

The provider is located at 508 16TH ST LA GRANDE, OR 97850 and the phone number is (541) 663-1200.

Assisted Living Facility with taxonomy code 310400000X.