MONTESANO HEALTH AND REHABILITATION CENTER
NPI 1245228444
Skilled Nursing Facility in Montesano, WA

Active since October 11, 2005CLIA 50D0945820 · Waiver
800 N. MEDCALF, MONTESANO, WA 98563(360) 249-2273(360) 249-2363 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montesano Health And Rehabilitation Center NPPES

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

MONTESANO HEALTH AND REHABILITATION CENTER (NPI 1245228444) is a healthcare organization registered as a skilled nursing facility in Montesano, Washington and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Carole M Scillia, Llc Manager, as its authorized official.

NPPES Registry Identity

NPI1245228444
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameREVERA (DELAWARE) LLC
Location Address800 N. MEDCALFMontesano, WA 98563-1318
Mailing Address538 Preston Ave, Suite 270Meriden, CT 06450-4851 · (203) 608-6100 · Fax (203) 639-3574
Fax(360) 249-2363
Organization SubpartNo
Authorized OfficialCarole M ScilliaLlc Manager · (203) 608-6100
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 20, 2011
NPI 1245228444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Licenses Licensed in WA · 1369 Licensed in WA · 050005680
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.
800 N. MEDCALF, Montesano, WA 98563

Other Names 1

Doing Business AsMontesano Health And Rehabilitation Center

Other Identifiers 3

Medicare OSCAR/certification505503WA
Medicaid4113692WA
Medicare PIN1245228444

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 50D0945820

Montesano Health & Rehabilitation · Montesano, WA
Active · expires Apr 4, 2028
CLIA Number50D0945820
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 11, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmad Nazifi
Laboratory Phone(360) 249-2273
Laboratory LocationMontesano Health & Rehabilitation800 N Medcalf Ln, Montesano, WA 98563
CLIA data matches this NPI record on: Address 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 Revera (delaware) LLC's NPI number?

The NPI number for Revera (delaware) LLC is 1245228444. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Montesano Health And Rehabilitation Center.

Where is Revera (delaware) LLC located?

Revera (delaware) LLC is located at 800 N. Medcalf, Montesano, WA 98563. The listed phone number is (360) 249-2273.

What is Revera (delaware) LLC's specialty?

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

Does Revera (delaware) LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0945820) 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 Revera (delaware) LLC was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.