SIGNATURE RESPICARE, LLC
NPI 1720603350
Custodial Care Facility - Adult Care Home in Vancouver, WA
About Signature Respicare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIGNATURE RESPICARE, LLC (NPI 1720603350) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Feliks Polyakov, Director Of Patient Care, 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 50D2306420
Signature Respicare, LLC · Vancouver, WAOther 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 Signature Respicare, LLC's NPI number?
The NPI number for Signature Respicare, LLC is 1720603350. It was assigned to this organization in the NPPES registry on June 9, 2020.
Where is Signature Respicare, LLC located?
Signature Respicare, LLC is located at 7117 NE Fairway Ave, Vancouver, WA 98662. The listed phone number is (360) 281-4444.
What is Signature Respicare, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does Signature Respicare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2306420) 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 Signature Respicare, LLC was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Signature Respicare, Llc · NPI 1720603350
Adult Care Home organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since June 9, 2020.
## Identity
- **NPI:** 1720603350 (Entity type: Organization)
- **Enumerated:** June 9, 2020
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Organization subpart:** No
- **Authorized official:** Feliks Polyakov, DIRECTOR OF PATIENT CARE
## Practice location
- **Address:** 7117 NE FAIRWAY AVE, Vancouver, WA 98662-3691
- **Phone:** (360) 281-4444
## Record status
- **NPPES last updated:** June 9, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720603350) · Data from the CMS NPPES public registry.