BADGER MOUNTAIN FAIRVIEW AFH LLC
NPI 1316809379
Custodial Care Facility - Adult Care Home in Pasco, WA

Active since November 28, 2025CLIA Certified · 2 labs

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Badger Mountain Fairview Afh Llc NPPES

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

BADGER MOUNTAIN FAIRVIEW AFH LLC (NPI 1316809379) is a healthcare organization registered as an adult care home in Pasco, Washington and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Doug Tamburello, Owner, as its authorized official.

NPPES Registry Identity

NPI1316809379
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBADGER MOUNTAIN FAIRVIEW AFH LLC
Location Address2211 ROAD 80Pasco, WA 99301-1812
Mailing Address2211 Road 80Pasco, WA 99301-1812
Organization SubpartNo
Authorized OfficialDoug TamburelloOwner · (509) 572-5584
Enumeration DateNovember 28, 2025
NPPES CertifiedNovember 28, 2025
NPI 1316809379 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
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.
2211 ROAD 80, Pasco, WA 99301

CLIA Laboratory Certificates CMS CLIA 2

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 50D2335370

Badger Mountain Fairview Afh · Pasco, WA
Active · expires Apr 4, 2028
CLIA Number50D2335370
Laboratory TypeAfh
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorErika Leyva
Laboratory Phone(509) 572-0535
Laboratory LocationBadger Mountain Fairview Afh2211 Road 80, Pasco, WA 99301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2322422

Badger Mountain Summit View Afh · Kennewick, WA
Active · expires Apr 4, 2028
CLIA Number50D2322422
Laboratory TypeAfh
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorOsha Roberts
Laboratory Phone(509) 572-5584
Laboratory LocationBadger Mountain Summit View Afh10501 Harper Mae Ct, Kennewick, WA 99338
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
2211 ROAD 80
PASCO, WA 99301

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 Badger Mountain Fairview Afh LLC's NPI number?

The NPI number for Badger Mountain Fairview Afh LLC is 1316809379. It was assigned to this organization in the NPPES registry on November 28, 2025.

Where is Badger Mountain Fairview Afh LLC located?

Badger Mountain Fairview Afh LLC is located at 2211 Road 80, Pasco, WA 99301. The listed phone number is (509) 572-5584.

What is Badger Mountain Fairview Afh LLC's specialty?

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

Does Badger Mountain Fairview Afh LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Badger Mountain Fairview Afh LLC was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.