CHEHALIS WEST ASSISTED LIVING CENTER INC
NPI 1073139119
Assisted Living Facility in Chehalis, WA

Active since June 24, 2020CLIA 50D2254768 · Waiver
478 NW QUINCY PL, CHEHALIS, WA 98532(360) 748-9911(360) 748-4642 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2020, Jun 24, 2020 (2 updates tracked since 2020).

About Chehalis West Assisted Living Center Inc NPPES

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

CHEHALIS WEST ASSISTED LIVING CENTER INC (NPI 1073139119) is a healthcare organization registered as an assisted living facility in Chehalis, Washington and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stefanie L Wahl, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1073139119
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHEHALIS WEST ASSISTED LIVING CENTER INC
Location Address478 NW QUINCY PLChehalis, WA 98532-1628
Mailing Address478 Nw Quincy PlChehalis, WA 98532-1628 · (360) 748-9911 · Fax (360) 748-4642
Fax(360) 748-4642
Organization SubpartNo
Authorized OfficialStefanie L WahlBookkeeper · (360) 748-9911
Enumeration DateJune 24, 2020
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
NPI 1073139119 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.
478 NW QUINCY PL, Chehalis, WA 98532

Other Identifiers 1

Medicaid111783901WA

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 50D2254768

Chehalis West Assisted Living Center · Chehalis, WA
Active · expires Apr 4, 2028
CLIA Number50D2254768
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 7, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNikki Storms
Laboratory Phone(360) 748-9911
Laboratory LocationChehalis West Assisted Living Center478 NW Quincy Pl, Chehalis, WA 98532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chehalis West Assisted Living Center Inc's NPI number?

The NPI number for Chehalis West Assisted Living Center Inc is 1073139119. It was assigned to this organization in the NPPES registry on June 24, 2020.

Where is Chehalis West Assisted Living Center Inc located?

Chehalis West Assisted Living Center Inc is located at 478 NW Quincy Pl, Chehalis, WA 98532. The listed phone number is (360) 748-9911.

What is Chehalis West Assisted Living Center Inc's specialty?

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

Does Chehalis West Assisted Living Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254768) 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 Chehalis West Assisted Living Center Inc was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.