SHALOM HOSPICE OF SOUTHWEST WASHINGTON LLC
NPI 1174414833
Hospice Care, Community Based in Vancouver, WA

Q: What is Shalom Hospice Of Southwest Washington LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Active since July 11, 2025CLIA 50D2339878 · Waiver

3205 NE 78TH ST STE 10, VANCOUVER, WA 98665(360) 302-4600(360) 326-1572 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shalom Hospice Of Southwest Washington Llc NPPES

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

SHALOM HOSPICE OF SOUTHWEST WASHINGTON LLC (NPI 1174414833) is a healthcare organization registered as a hospice care, community based in Vancouver, Washington and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Samuel Stern, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174414833

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameSHALOM HOSPICE OF SOUTHWEST WASHINGTON LLC

Location Address3205 NE 78TH ST STE 10Vancouver, WA 98665-0697

Mailing Address3205 Ne 78th St Ste 10Vancouver, WA 98665-0697 · (360) 302-4600 · Fax (360) 326-1572

Phone(360) 302-4600

Fax(360) 326-1572

Organization SubpartNo

Authorized OfficialSamuel SternCeo · (510) 499-9977

Enumeration DateJuly 11, 2025

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1174414833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

3205 NE 78TH ST STE 10, Vancouver, WA 98665

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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 50D2339878

Shalom Hospice Of Southwest Washington LLC · Vancouver, WA

Active · expires Apr 4, 2028

CLIA Number50D2339878

Laboratory TypeHospice

Certificate Effective DateMarch 9, 2026

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJaneen Fraser

Laboratory Phone(360) 302-4600

Laboratory LocationShalom Hospice Of Southwest Washington LLC3205 NE 78th St Ste 10, Vancouver, WA 98665

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.

AFFINITY CARE HOSPICE OF OREGON LLC

Hospice Care, Community Based

3205 NE 78TH ST STE 10
VANCOUVER, WA 98665

Clark County (360) 302-4600

AFFINITY CARE OF OREGON LLC

Hospice Care, Community Based

3205 NE 78TH ST STE 10
VANCOUVER, WA 98665

Clark County (360) 302-4600

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 Shalom Hospice Of Southwest Washington LLC's NPI number?

The NPI number for Shalom Hospice Of Southwest Washington LLC is 1174414833. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Shalom Hospice Of Southwest Washington LLC located?

Shalom Hospice Of Southwest Washington LLC is located at 3205 NE 78th St Ste 10, Vancouver, WA 98665. The listed phone number is (360) 302-4600.

What is Shalom Hospice Of Southwest Washington LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Shalom Hospice Of Southwest Washington LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2339878) 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 Shalom Hospice Of Southwest Washington LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.