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BONAVENTURE OF PUYALLUP
NPI 1801582671
Assisted Living Facility in Puyallup, WA

Active since April 14, 2023CLIA 50D2256406 · Waiver
14503 MERIDIAN E, PUYALLUP, WA 98375(253) 387-8166 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bonaventure Of Puyallup NPPES

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

BONAVENTURE OF PUYALLUP (NPI 1801582671) is a healthcare organization registered as an assisted living facility in Puyallup, Washington and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Denise J Link, Ar Specialist, as its authorized official.

NPPES Registry Identity

NPI1801582671
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBONAVENTURE OF PUYALLUP
Location Address14503 MERIDIAN EPuyallup, WA 98375-5003
Mailing Address3425 Boone Rd SeSalem, OR 97317-9336 · (503) 373-3131
Phone(253) 387-8166
Organization SubpartNo
Authorized OfficialDenise J LinkAr Specialist · (503) 373-3131
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1801582671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
14503 MERIDIAN E, Puyallup, WA 98375
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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 50D2256406

Bonaventure Of Puyallup · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2256406
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 23, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNicole Brophy
Laboratory Phone(253) 387-8166
Laboratory LocationBonaventure Of Puyallup14503 Meridian E, Puyallup, WA 98375
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 Bonaventure Of Puyallup's NPI number?

The NPI number for Bonaventure Of Puyallup is 1801582671. It was assigned to this organization in the NPPES registry on April 14, 2023.

Where is Bonaventure Of Puyallup located?

Bonaventure Of Puyallup is located at 14503 Meridian E, Puyallup, WA 98375. The listed phone number is (253) 387-8166.

What is Bonaventure Of Puyallup's specialty?

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

Does Bonaventure Of Puyallup hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2256406) 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 Bonaventure Of Puyallup was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.