PROVIDENCE SENIOR HOME LLC
NPI 1134520463
Health Maintenance Organization in Spokane, WA
About Providence Senior Home Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE SENIOR HOME LLC (NPI 1134520463) is a healthcare organization registered as a health maintenance organization in Spokane, Washington and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sandu Codreanu, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 50D2294218
Providence Senior Home · Spokane, WAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Providence Senior Home LLC's NPI number?
The NPI number for Providence Senior Home LLC is 1134520463. It was assigned to this organization in the NPPES registry on September 5, 2014.
Where is Providence Senior Home LLC located?
Providence Senior Home LLC is located at 3623 W Indian Trail Rd, Spokane, WA 99208. The listed phone number is (509) 710-2776.
What is Providence Senior Home LLC's specialty?
The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.
Does Providence Senior Home LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2294218) 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 Providence Senior Home LLC was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.