AVAMERE AT MOSES LAKE
NPI 1063908556
Assisted Living Facility in Moses Lake, WA

Active since July 08, 2018CLIA 50D2162780 · Waiver
8425 ASPI BLVD, MOSES LAKE, WA 98837(509) 762-9115 Get Directions Write a Review

NPPES record last updated: July 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avamere At Moses Lake NPPES

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

AVAMERE AT MOSES LAKE (NPI 1063908556) is a healthcare organization registered as an assisted living facility in Moses Lake, Washington and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Chris Olson, Paralegal, as its authorized official.

NPPES Registry Identity

NPI1063908556
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMOSES LAKE OPERATIONS LLC
Location Address8425 ASPI BLVDMoses Lake, WA 98837-3615
Mailing Address25117 Sw Parkway Ave Ste FWilsonville, OR 97070-9697
Organization SubpartNo
Authorized OfficialChris OlsonParalegal · (503) 570-3405
Enumeration DateJuly 8, 2018
NPI 1063908556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
8425 ASPI BLVD, Moses Lake, WA 98837

Other Names 1

Doing Business AsAvamere At Moses Lake

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 50D2162780

Avamere At Moses Lake · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2162780
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 28, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJodi Montoya
Laboratory Phone(509) 762-9115
Laboratory LocationAvamere At Moses Lake8425 Aspi Blvd NE, Moses Lake, WA 98837
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 2

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

Assisted Living Facility
8425 ASPI BLVD
MOSES LAKE, WA 98837
Assisted Living Facility
8425 ASPI BLVD
MOSES LAKE, WA 98837

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 Moses Lake Operations LLC's NPI number?

The NPI number for Moses Lake Operations LLC is 1063908556. It was assigned to this organization in the NPPES registry on July 8, 2018. The provider is doing business as Avamere At Moses Lake.

Where is Moses Lake Operations LLC located?

Moses Lake Operations LLC is located at 8425 Aspi Blvd, Moses Lake, WA 98837. The listed phone number is (509) 762-9115.

What is Moses Lake Operations LLC's specialty?

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

Does Moses Lake Operations LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2162780) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moses Lake Operations LLC was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.