GOOD SHEPHERD MANOR
NPI 1245633858
Custodial Care Facility - Adult Care Home in Washougal, WA

Active since September 28, 2014CLIA 50D2309883 · Waiver
1493 N SHEPHERD RD, WASHOUGAL, WA 98671(360) 210-4371(360) 835-3319 Get Directions Write a Review

NPPES record last updated: September 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Shepherd Manor NPPES

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

GOOD SHEPHERD MANOR (NPI 1245633858) is a healthcare organization registered as an adult care home in Washougal, Washington and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Thomas Mccaulley, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1245633858
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHUMAN DIGNITY FOUNDATION
Location Address1493 N SHEPHERD RDWashougal, WA 98671-8327
Mailing Address1470 N 20th StWashougal, WA 98671-8278 · (360) 606-5262 · Fax (360) 835-3319
Fax(360) 835-3319
Organization SubpartNo
Authorized OfficialThomas MccaulleyTreasurer · (360) 606-5262
Enumeration DateSeptember 28, 2014
NPI 1245633858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in WA · 752701
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1493 N SHEPHERD RD, Washougal, WA 98671

Other Names 1

Doing Business AsGood Shepherd Manor

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 50D2309883

Good Shepherd Manor · Washougal, WA
Active · expires Apr 4, 2028
CLIA Number50D2309883
Laboratory TypeAfh
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMarcie Collins
Laboratory Phone(360) 210-4371
Laboratory LocationGood Shepherd Manor1493 N Shepherd Rd, Washougal, WA 98671
CLIA data matches this NPI record on: Address Name 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 Human Dignity Foundation's NPI number?

The NPI number for Human Dignity Foundation is 1245633858. It was assigned to this organization in the NPPES registry on September 28, 2014. The provider is doing business as Good Shepherd Manor.

Where is Human Dignity Foundation located?

Human Dignity Foundation is located at 1493 N Shepherd Rd, Washougal, WA 98671. The listed phone number is (360) 210-4371.

What is Human Dignity Foundation's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Human Dignity Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2309883) 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 Human Dignity Foundation was last updated on September 28, 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.