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FOUNTAIN COURT ASSISTED LIVING
NPI 1336365543
Assisted Living Facility in Maple Valley, WA

Active since April 17, 2007CLIA 50D2257125 · Waiver
24200 224TH AVE SE, MAPLE VALLEY, WA 98038(425) 432-3352(425) 432-1648 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fountain Court Assisted Living NPPES

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

FOUNTAIN COURT ASSISTED LIVING (NPI 1336365543) is a healthcare organization registered as an assisted living facility in Maple Valley, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kristi Knox, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336365543
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOUNTAIN COURT ASSISTED LIVING
Location Address24200 224TH AVE SEMaple Valley, WA 98038-7926
Mailing Address4610 Ne 77th Ave, Suite #132Vancouver, WA 98662-6789 · (360) 449-4524 · Fax (360) 449-4525
Phone(425) 432-3352
Fax(425) 432-1648
Organization SubpartNo
Authorized OfficialKristi KnoxExecutive Director · (425) 432-3352
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336365543 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 · BH1568
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.
24200 224TH AVE SE, Maple Valley, WA 98038
Open in Google Maps ↗

Other Identifiers 1

Medicaid688752WA

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 50D2257125

Fountain Court Senior Living · Maple Valley, WA
Active · expires Apr 4, 2028
CLIA Number50D2257125
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 31, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChristina Fenerty
Laboratory Phone(425) 432-3352
Laboratory LocationFountain Court Senior Living24200 224th Ave SE, Maple Valley, WA 98038
CLIA data matches this NPI record on: Address 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.

LUNA HEALTHCARE, LLC
Audiologist-Hearing Aid Fitter
24200 224TH AVE SE
MAPLE VALLEY, WA 98038
King County (425) 432-3352

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 Fountain Court Assisted Living's NPI number?

The NPI number for Fountain Court Assisted Living is 1336365543. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Fountain Court Assisted Living located?

Fountain Court Assisted Living is located at 24200 224th Ave SE, Maple Valley, WA 98038. The listed phone number is (425) 432-3352.

What is Fountain Court Assisted Living's specialty?

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

Does Fountain Court Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2257125) 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 Fountain Court 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 6 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.