817 EAST PLUM STREET OPERATIONS LLC
NPI 1427774918
Skilled Nursing Facility in Moses Lake, WA

Active since October 17, 2022
817 E PLUM ST, MOSES LAKE, WA 98837(509) 765-7835 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 817 East Plum Street Operations Llc NPPES

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

817 EAST PLUM STREET OPERATIONS LLC (NPI 1427774918), doing business as Lake Ridge Center, is a healthcare organization registered as a skilled nursing facility in Moses Lake, Washington and active in the NPI registry since October 2022. The organization lists Michael T Berg, Asst Secretary, as its authorized official.

NPPES Registry Identity

NPI1427774918
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name817 EAST PLUM STREET OPERATIONS LLC
Location Address817 E PLUM STMoses Lake, WA 98837-1870
Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 444-6350
Organization SubpartNo
Authorized OfficialMichael T BergAsst Secretary · (505) 468-4742
Enumeration DateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
NPI 1427774918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

817 E PLUM ST, Moses Lake, WA 98837

Other Names 1

Doing Business AsLake Ridge Center

Other Identifiers 2

Other505261Medicare
Medicaid4114435WA

Other Providers at the Same Location NPPES 6

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

Occupational Therapist
817 E PLUM ST
MOSES LAKE, WA 98837
Occupational Therapy Assistant
817 E PLUM ST
MOSES LAKE, WA 98837
Skilled Nursing Facility
817 E PLUM ST
MOSES LAKE, WA 98837
Physical Therapist
817 E PLUM ST
MOSES LAKE, WA 98837
Physician Assistant (Medical)
817 E PLUM ST
MOSES LAKE, WA 98837
Skilled Nursing Facility
817 E PLUM ST
MOSES LAKE, WA 98837

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 817 East Plum Street Operations LLC's NPI number?

The NPI number for 817 East Plum Street Operations LLC is 1427774918. It was assigned to this organization in the NPPES registry on October 17, 2022. The provider is doing business as Lake Ridge Center.

Where is 817 East Plum Street Operations LLC located?

817 East Plum Street Operations LLC is located at 817 E Plum St, Moses Lake, WA 98837. The listed phone number is (509) 765-7835.

What is 817 East Plum Street Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for 817 East Plum Street Operations LLC was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.