ENUMCLAW HEALTH AND REHABILITATION CENTER
NPI 1457346785
Skilled Nursing Facility in Enumclaw, WA

Active since September 13, 2005CLIA 50D0891847 · Waiver
2323 JENSEN ST, ENUMCLAW, WA 98022(360) 825-2541(360) 825-4351 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2022, Jan 30, 2017 (2 updates tracked since 2017).

About Enumclaw Health And Rehabilitation Center NPPES

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

ENUMCLAW HEALTH AND REHABILITATION CENTER (NPI 1457346785) is a healthcare organization registered as a skilled nursing facility in Enumclaw, Washington and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Michael J. Miller, Cfo And Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1457346785
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN WASHINGTON HEALTHCARE ENUMCLAW, L.L.C.
Location Address2323 JENSEN STEnumclaw, WA 98022-3698
Mailing Address4601 Ne 77th Ave, Suite 300Vancouver, WA 98662-6736 · (360) 892-6628 · Fax (360) 882-5793
Fax(360) 825-4351
Organization SubpartYesParent: Empres Washington Healthcare, Llc
Authorized OfficialMichael J. MillerCfo And Assistant Manager · (360) 892-6628
Enumeration DateSeptember 13, 2005
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
NPI 1457346785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WA · NH1266
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.
2323 JENSEN ST, Enumclaw, WA 98022

Other Names 1

Doing Business AsEnumclaw Health And Rehabilitation Center

Other Identifiers 1

Medicaid4112660WA

Accepted Insurance

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 50D0891847

Enumclaw Health & Rehabilitation Center · Enumclaw, WA
Active · expires Apr 4, 2028
CLIA Number50D0891847
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 19, 1994
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLeonico Panlasigui
Laboratory Phone(360) 825-2541
Laboratory LocationEnumclaw Health & Rehabilitation Center2323 Jensen Street, Enumclaw, WA 98022
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 14

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

Speech-Language Pathologist
2323 JENSEN ST
ENUMCLAW, WA 98022
Skilled Nursing Facility
2323 JENSEN ST
ENUMCLAW, WA 98022
Occupational Therapy Assistant
2323 JENSEN ST
ENUMCLAW, WA 98022
Occupational Therapist (Physical Rehabilitation)
2323 JENSEN ST
ENUMCLAW, WA 98022
Clinic/Center (Physical Therapy)
2323 JENSEN ST
ENUMCLAW, WA 98022
Physical Therapist
2323 JENSEN ST
ENUMCLAW, WA 98022
Licensed Practical Nurse
2323 JENSEN ST, ENUMCLAW, WA 98022
ENUMCLAW, WA 98022
Physical Therapist
2323 JENSEN ST
ENUMCLAW, WA 98022

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 Evergreen Washington Healthcare Enumclaw, L.L.C.'s NPI number?

The NPI number for Evergreen Washington Healthcare Enumclaw, L.L.C. is 1457346785. It was assigned to this organization in the NPPES registry on September 13, 2005. The provider is doing business as Enumclaw Health And Rehabilitation Center.

Where is Evergreen Washington Healthcare Enumclaw, L.L.C. located?

Evergreen Washington Healthcare Enumclaw, L.L.C. is located at 2323 Jensen St, Enumclaw, WA 98022. The listed phone number is (360) 825-2541.

What is Evergreen Washington Healthcare Enumclaw, L.L.C.'s specialty?

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

Does Evergreen Washington Healthcare Enumclaw, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0891847) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Washington Healthcare Enumclaw, L.L.C. accept?

Health plans from PacificSource Health Plans list Evergreen Washington Healthcare Enumclaw, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Washington Healthcare Enumclaw, L.L.C. was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.