WASHINGTON ODD FELLOWS HOME
NPI 1639169097
Skilled Nursing Facility in Walla Walla, WA

Active since October 26, 2005
534 BOYER AVENUE, WALLA WALLA, WA 99362(509) 525-6463(509) 526-6883 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Washington Odd Fellows Home NPPES

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

WASHINGTON ODD FELLOWS HOME (NPI 1639169097) is a healthcare organization registered as a skilled nursing facility in Walla Walla, Washington and active in the NPI registry since October 2005. The organization lists John R Brigham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639169097
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWASHINGTON ODD FELLOWS HOME
Location Address534 BOYER AVENUEWalla Walla, WA 99362
Mailing Address534 Boyer AvenueWalla Walla, WA 99362 · (509) 525-6463 · Fax (509) 526-6883
Fax(509) 526-6883
Organization SubpartNo
Authorized OfficialJohn R BrighamAdministrator · (509) 525-6463
Enumeration DateOctober 26, 2005
Last NPPES UpdateFebruary 23, 2011
NPI 1639169097 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 · NH351
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.
534 BOYER AVENUE, Walla Walla, WA 99362

Other Identifiers 3

Medicaid1015156WA
Medicaid4135109WA
Medicare OSCAR/certification505421WA

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 Washington Odd Fellows Home's NPI number?

The NPI number for Washington Odd Fellows Home is 1639169097. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Washington Odd Fellows Home located?

Washington Odd Fellows Home is located at 534 Boyer Avenue, Walla Walla, WA 99362. The listed phone number is (509) 525-6463.

What is Washington Odd Fellows Home'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 Washington Odd Fellows Home was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.