REGENCY AT THE PARK
NPI 1174514046
Skilled Nursing Facility in College Place, WA

Active since October 31, 2005CLIA 50D0874634 · Waiver
420 SE MYRA RD, COLLEGE PLACE, WA 99324(509) 529-4480(509) 529-8776 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regency At The Park NPPES

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

REGENCY AT THE PARK (NPI 1174514046) is a healthcare organization registered as a skilled nursing facility in College Place, Washington and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Larry M White, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174514046
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAUREL HILL ENTERPRISES
Location Address420 SE MYRA RDCollege Place, WA 99324-1796
Mailing Address420 Se Myra RdCollege Place, WA 99324-1796 · (509) 529-4480 · Fax (509) 529-8776
Fax(509) 529-8776
Organization SubpartNo
Authorized OfficialLarry M WhiteAdministrator · (509) 529-4480
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1174514046 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 · 4112850
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.
420 SE MYRA RD, College Place, WA 99324

Other Names 1

Doing Business AsRegency At The Park

Other Identifiers 1

Medicaid4112850WA

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 50D0874634

Regency At The Park · College Place, WA
Active · expires Apr 4, 2028
CLIA Number50D0874634
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 12, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRobert Carmody
Laboratory Phone(509) 529-4480
Laboratory LocationRegency At The Park420 SE Myra Road, College Place, WA 99324
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 4

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

Physical Therapist
420 SE MYRA RD
COLLEGE PLACE, WA 99324
Skilled Nursing Facility
420 SE MYRA RD
COLLEGE PLACE, WA 99324
Physical Therapy Assistant
420 SE MYRA RD
COLLEGE PLACE, WA 99324
Speech-Language Pathologist
420 SE MYRA RD
COLLEGE PLACE, WA 99324

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 Laurel Hill Enterprises's NPI number?

The NPI number for Laurel Hill Enterprises is 1174514046. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Regency At The Park.

Where is Laurel Hill Enterprises located?

Laurel Hill Enterprises is located at 420 SE Myra Rd, College Place, WA 99324. The listed phone number is (509) 529-4480.

What is Laurel Hill Enterprises's specialty?

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

Does Laurel Hill Enterprises hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0874634) 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 Laurel Hill Enterprises was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.