FRONTIER REHABILITATION AND EXTENDED CARE CENTER
NPI 1104811207
Skilled Nursing Facility in Longview, WA

Active since September 14, 2005CLIA 50D0637496 · Waiver
1500 3RD AVE, LONGVIEW, WA 98632(360) 423-8800(360) 636-3421 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frontier Rehabilitation And Extended Care Center NPPES

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

FRONTIER REHABILITATION AND EXTENDED CARE CENTER (NPI 1104811207) is a healthcare organization registered as a skilled nursing facility in Longview, Washington and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brent Weil, Ceo And Manager, as its authorized official.

NPPES Registry Identity

NPI1104811207
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN WASHINGTON HEALTHCARE FRONTIER, L.L.C.
Location Address1500 3RD AVELongview, WA 98632-8632
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(360) 636-3421
Organization SubpartYesParent: Empres Washington Healthcare, Llc
Authorized OfficialBrent WeilCeo And Manager · (360) 892-6628
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJanuary 30, 2017
NPI 1104811207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · 1225
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1500 3RD AVE, Longview, WA 98632

Other Names 1

Doing Business AsFrontier Rehabilitation And Extended Care Center

Other Identifiers 3

Medicaid4112256WA
Other1225WA · State Nh#
Medicare OSCAR/certification505276WA

Accepted Insurance

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 50D0637496

Frontier Rehabilitation And Extended Care · Longview, WA
Active · expires Apr 4, 2028
CLIA Number50D0637496
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNeel Chheda
Laboratory Phone(360) 423-8800
Laboratory LocationFrontier Rehabilitation And Extended Care1500 3rd Ave, Longview, WA 98632
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 18

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

Occupational Therapy Assistant
1500 3RD AVE
LONGVIEW, WA 98632
Speech-Language Pathologist
1500 3RD AVE
LONGVIEW, WA 98632
Occupational Therapist
1500 3RD AVE
LONGVIEW, WA 98632
Occupational Therapy Assistant
1500 3RD AVE
LONGVIEW, WA 98632
Physical Therapy Assistant
1500 3RD AVE
LONGVIEW, WA 98632
Specialist
1500 3RD AVE
LONGVIEW, WA 98632
Occupational Therapy Assistant
1500 3RD AVE
LONGVIEW, WA 98632
Physical Therapist
1500 3RD AVE
LONGVIEW, WA 98632

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 Evergreen Washington Healthcare Frontier, L.L.C.'s NPI number?

The NPI number for Evergreen Washington Healthcare Frontier, L.L.C. is 1104811207. It was assigned to this organization in the NPPES registry on September 14, 2005. The provider is doing business as Frontier Rehabilitation And Extended Care Center.

Where is Evergreen Washington Healthcare Frontier, L.L.C. located?

Evergreen Washington Healthcare Frontier, L.L.C. is located at 1500 3rd Ave, Longview, WA 98632. The listed phone number is (360) 423-8800.

What is Evergreen Washington Healthcare Frontier, L.L.C.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evergreen Washington Healthcare Frontier, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0637496) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Washington Healthcare Frontier, L.L.C. accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Evergreen Washington Healthcare Frontier, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Washington Healthcare Frontier, L.L.C. was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.