EAGLE SPRINGS MEMORY CARE COMMUNITY
NPI 1467572495
Assisted Living Facility in College Place, WA

Active since March 31, 2007CLIA 50D2165538 · Waiver
20 SE LARCH AVE, COLLEGE PLACE, WA 99324(509) 525-6335 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Springs Memory Care Community NPPES

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

EAGLE SPRINGS MEMORY CARE COMMUNITY (NPI 1467572495) is a healthcare organization registered as an assisted living facility in College Place, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jon Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1467572495
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEAGLE SPRINGS SPECIALIZED CARE, LLC
Location Address20 SE LARCH AVECollege Place, WA 99324-1199
Mailing Address3723 Fairview Industrial Dr Se Ste 270Salem, OR 97302-4975 · (503) 485-8691
Organization SubpartNo
Authorized OfficialJon HarderManager · (503) 485-4600
Enumeration DateMarch 31, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1467572495 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 · BH 1370
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.
20 SE LARCH AVE, College Place, WA 99324

Other Names 1

Doing Business AsEagle Springs Memory Care Community

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 50D2165538

Eagle Springs Memory Care · College Place, WA
Active · expires Apr 4, 2028
CLIA Number50D2165538
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 30, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKristina Downey
Laboratory Phone(509) 525-6335
Laboratory LocationEagle Springs Memory Care20 SE Larch Ave, College Place, WA 99324
CLIA data matches this NPI record on: Address Name 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.

Alzheimer Center (Dementia Center)
20 SE LARCH AVE
COLLEGE PLACE, WA 99324

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 Eagle Springs Specialized Care, LLC's NPI number?

The NPI number for Eagle Springs Specialized Care, LLC is 1467572495. It was assigned to this organization in the NPPES registry on March 31, 2007. The provider is doing business as Eagle Springs Memory Care Community.

Where is Eagle Springs Specialized Care, LLC located?

Eagle Springs Specialized Care, LLC is located at 20 SE Larch Ave, College Place, WA 99324. The listed phone number is (509) 525-6335.

What is Eagle Springs Specialized Care, LLC's specialty?

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

Does Eagle Springs Specialized Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2165538) 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 Eagle Springs Specialized Care, LLC 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 5 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.