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FRED LIND MANOR
NPI 1720404510
Assisted Living Facility in Seattle, WA

Active since March 17, 2014CLIA 50D2215072 · Waiver
1802 17TH AVE, SEATTLE, WA 98122(206) 324-1632(206) 323-0485 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred Lind Manor NPPES

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

FRED LIND MANOR (NPI 1720404510) is a healthcare organization registered as an assisted living facility in Seattle, Washington and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mark Mullen, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720404510
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFRED LIND MANOR
Location Address1802 17TH AVESeattle, WA 98122-2722
Mailing Address1802 17th AveSeattle, WA 98122-2722 · (206) 324-1632 · Fax (206) 323-0485
Phone(206) 324-1632
Fax(206) 323-0485
Organization SubpartNo
Authorized OfficialMark MullenExecutive Director · (206) 324-1632
Enumeration DateMarch 17, 2014
✔ NPI 1720404510 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 · 864
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.
1802 17TH AVE, Seattle, WA 98122
Open in Google Maps ↗

Other Identifiers 1

Medicaid114803WA

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 50D2215072

Fred Lind Manor · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2215072
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorHadeel A. Karawi
Laboratory Phone(206) 324-1632
Laboratory LocationFred Lind Manor1802 17th Ave, Seattle, WA 98122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fred Lind Manor's NPI number?

The NPI number for Fred Lind Manor is 1720404510. It was assigned to this organization in the NPPES registry on March 17, 2014.

Where is Fred Lind Manor located?

Fred Lind Manor is located at 1802 17th Ave, Seattle, WA 98122. The listed phone number is (206) 324-1632.

What is Fred Lind Manor's specialty?

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

Does Fred Lind Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2215072) 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 Fred Lind Manor was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.