WOODLAND ASSISTED LIVING
NPI 1295959534
Assisted Living Facility in Woodland, WA

Active since April 11, 2007CLIA 50D2253066 · Waiver
310 4TH ST, WOODLAND, WA 98674(360) 225-9443 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodland Assisted Living NPPES

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

WOODLAND ASSISTED LIVING (NPI 1295959534) is a healthcare organization registered as an assisted living facility in Woodland, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brandon G Kaser, Administrator, as its authorized official.

NPPES Registry Identity

NPI1295959534
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWOODLAND ASSISTED LIVING
Location Address310 4TH STWoodland, WA 98674-8488
Mailing AddressPo Box 69Woodland, WA 98674-0100 · (360) 225-9443 · Fax (360) 225-3703
Organization SubpartNo
Authorized OfficialBrandon G KaserAdministrator · (360) 225-9443
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1295959534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WA · BH 1028
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
310 4TH ST, Woodland, WA 98674

Other Identifiers 1

Medicaid094722WA

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 50D2253066

Woodland Assisted Living · Woodland, WA
Active · expires Apr 4, 2028
CLIA Number50D2253066
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 16, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephanie Smith
Laboratory Phone(360) 225-9443
Laboratory LocationWoodland Assisted Living310 4th St, Woodland, WA 98674
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 15

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

Physical Therapy Assistant
310 4TH ST
WOODLAND, WA 98674
Occupational Therapist
310 4TH ST
WOODLAND, WA 98674
Speech-Language Pathologist
310 4TH ST
WOODLAND, WA 98674
Speech-Language Pathologist
310 4TH ST
WOODLAND, WA 98674
Speech-Language Pathologist
310 4TH ST
WOODLAND, WA 98674
Speech-Language Pathologist
310 4TH ST
WOODLAND, WA 98674
Physical Therapist
310 4TH ST
WOODLAND, WA 98674
Physical Therapist
310 4TH ST
WOODLAND, WA 98674

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 Woodland Assisted Living's NPI number?

The NPI number for Woodland Assisted Living is 1295959534. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Woodland Assisted Living located?

Woodland Assisted Living is located at 310 4th St, Woodland, WA 98674. The listed phone number is (360) 225-9443.

What is Woodland Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Woodland Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2253066) 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 Woodland Assisted Living 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.