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WHITE OAK VILLAGE, LLC
NPI 1356147334
Assisted Living Facility in Vancouver, WA

Active since February 20, 2025CLIA 50D2315911 · Waiver
14715 NE 20TH AVE, VANCOUVER, WA 98686(360) 360-0687 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Feb 20, 2025 (2 updates tracked since 2025).

About White Oak Village, Llc NPPES

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

WHITE OAK VILLAGE, LLC (NPI 1356147334), doing business as White Oak Village Memory Care, is a healthcare organization registered as an assisted living facility in Vancouver, Washington and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists January E Zeeb, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1356147334
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWHITE OAK VILLAGE, LLC
Location Address14715 NE 20TH AVEVancouver, WA 98686-1453
Mailing Address650 Hawthorne Ave Se Ste 210Salem, OR 97301-5895 · (503) 391-9999
Phone(360) 360-0687
Organization SubpartNo
Authorized OfficialJanuary E ZeebAccounts Receivable Manager · (503) 391-9999
Enumeration DateFebruary 20, 2025
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1356147334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
14715 NE 20TH AVE, Vancouver, WA 98686
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Other Names 1

Doing Business AsWhite Oak Village Memory Care

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 50D2315911

White Oak Village Memory Care Community · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2315911
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDouglas Sproul
Laboratory Phone(503) 399-9999
Laboratory LocationWhite Oak Village Memory Care Community14715 NE 20th Ave, Vancouver, WA 98686
CLIA data matches this NPI record on: Address Name
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 White Oak Village, LLC's NPI number?

The NPI number for White Oak Village, LLC is 1356147334. It was assigned to this organization in the NPPES registry on February 20, 2025. The provider is doing business as White Oak Village Memory Care.

Where is White Oak Village, LLC located?

White Oak Village, LLC is located at 14715 NE 20th Ave, Vancouver, WA 98686. The listed phone number is (360) 360-0687.

What is White Oak Village, LLC's specialty?

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

Does White Oak Village, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2315911) 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 White Oak Village, LLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.