WILLAPA HARBOR CARE LLC
NPI 1649077934
Skilled Nursing Facility in Raymond, WA

Active since February 25, 2025CLIA 50D0675030 · Waiver
1100 JACKSON AVE, RAYMOND, WA 98577(360) 942-2424 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willapa Harbor Care Llc NPPES

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

WILLAPA HARBOR CARE LLC (NPI 1649077934), doing business as Willapa Harbor Care, is a healthcare organization registered as a skilled nursing facility in Raymond, Washington and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Raphael Oscherowitz, Manager, as its authorized official.

NPPES Registry Identity

NPI1649077934
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLAPA HARBOR CARE LLC
Location Address1100 JACKSON AVERaymond, WA 98577-3308
Mailing Address3220 Rosedale St Ste 200Gig Harbor, WA 98335-1837
Organization SubpartNo
Authorized OfficialRaphael OscherowitzManager · (253) 251-9300
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
NPI 1649077934 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.
1100 JACKSON AVE, Raymond, WA 98577

Other Names 1

Doing Business AsWillapa Harbor Care

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 50D0675030

Willapa Harbor Care · Raymond, WA
Active · expires Apr 4, 2028
CLIA Number50D0675030
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorErin B. Wirkkala
Laboratory Phone(360) 942-2424
Laboratory LocationWillapa Harbor Care1100 Jackson Ave, Raymond, WA 98577
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 3

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

Skilled Nursing Facility
1100 JACKSON AVE
RAYMOND, WA 98577
Skilled Nursing Facility
1100 JACKSON AVE
RAYMOND, WA 98577
Speech-Language Pathologist
1100 JACKSON AVE
RAYMOND, WA 98577

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 Willapa Harbor Care LLC's NPI number?

The NPI number for Willapa Harbor Care LLC is 1649077934. It was assigned to this organization in the NPPES registry on February 25, 2025. The provider is doing business as Willapa Harbor Care.

Where is Willapa Harbor Care LLC located?

Willapa Harbor Care LLC is located at 1100 Jackson Ave, Raymond, WA 98577. The listed phone number is (360) 942-2424.

What is Willapa Harbor Care LLC's specialty?

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

Does Willapa Harbor Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0675030) 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 Willapa Harbor Care LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.