PRAIRIE HOUSE ASSISTED LIVING
NPI 1477673473
Assisted Living Facility in La Pine, OR
About Prairie House Assisted Living NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAIRIE HOUSE ASSISTED LIVING (NPI 1477673473) is a healthcare organization registered as an assisted living facility in La Pine, Oregon and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Jon Harder, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 38D2194724
La Pine Alf, LLC Dba Prairie House · La Pine, OROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Prairie House Assisted Living's NPI number?
The NPI number for Prairie House Assisted Living is 1477673473. It was assigned to this organization in the NPPES registry on March 31, 2007.
Where is Prairie House Assisted Living located?
Prairie House Assisted Living is located at 51485 Morson St, La Pine, OR 97739. The listed phone number is (541) 536-8559.
What is Prairie House Assisted Living's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Prairie House Assisted Living hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2194724) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prairie House Assisted Living 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.
# Prairie House Assisted Living · NPI 1477673473
Assisted Living Facility organization in La Pine, Oregon. Organization record, active in the CMS NPPES registry since March 31, 2007.
## Identity
- **NPI:** 1477673473 (Entity type: Organization)
- **Enumerated:** March 31, 2007
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Jon Harder, MANAGER
## Practice location
- **Address:** 51485 MORSON ST, La Pine, OR 97739-9481
- **Phone:** (541) 536-8559
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477673473) · Data from the CMS NPPES public registry.