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CORDIAL PALACE AFH LLC
NPI 1396589578
Custodial Care Facility - Adult Care Home in University Place, WA

Active since June 21, 2024CLIA 50D2291432 · Waiver
9001 RIDGEVIEW CIR W, UNIVERSITY PLACE, WA 98466(253) 226-4800 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cordial Palace Afh Llc NPPES

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

CORDIAL PALACE AFH LLC (NPI 1396589578) is a healthcare organization registered as an adult care home in University Place, Washington and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Purity Wakaba, Provider, as its authorized official.

NPPES Registry Identity

NPI1396589578
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCORDIAL PALACE AFH LLC
Location Address9001 RIDGEVIEW CIR WUniversity Place, WA 98466-1334
Mailing Address9001 Ridgeview Cir WUniversity Place, WA 98466-1334 · (253) 226-4800
Phone(253) 226-4800
Organization SubpartNo
Authorized OfficialPurity WakabaProvider · (253) 226-4800
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1396589578 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.
9001 RIDGEVIEW CIR W, University Place, WA 98466
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Other Names 1

Doing Business AsCordial Palace Afh Llc

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 50D2291432

Cordial Palace Afh, LLC · University Place, WA
Active · expires Apr 4, 2028
CLIA Number50D2291432
Laboratory TypeAfh
Certificate Effective DateOctober 10, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPurity Wakaba
Laboratory Phone(253) 473-8762
Laboratory LocationCordial Palace Afh, LLC9001 Ridgeview Cir W, University Place, WA 98466
CLIA data matches this NPI record on: Address Name
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.

PURITY WAKABA RN
Registered Nurse
9001 RIDGEVIEW CIR W
UNIVERSITY PLACE, WA 98466
Pierce County (253) 473-8762

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 Cordial Palace Afh LLC's NPI number?

The NPI number for Cordial Palace Afh LLC is 1396589578. It was assigned to this organization in the NPPES registry on June 21, 2024.

Where is Cordial Palace Afh LLC located?

Cordial Palace Afh LLC is located at 9001 Ridgeview Cir W, University Place, WA 98466. The listed phone number is (253) 226-4800.

What is Cordial Palace 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 Cordial Palace Afh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2291432) 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 Cordial Palace Afh LLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.