1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Custodial Care Facility
  6. NPI Profile

OLYMPIA TABITA HARRIS
NPI 1861664971
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since March 28, 2008CLIA 50D2298426 · Waiver
7301 MISSISSIPPI DR, VANCOUVER, WA 98664(360) 694-5480(360) 750-4892 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Olympia Tabita Harris NPPES

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

OLYMPIA TABITA HARRIS (NPI 1861664971) is an individual adult care home provider in Vancouver, Washington, licensed in Washington (650700) and active in the NPI registry since March 2008. She holds a CLIA Waiver certificate valid through April 4, 2028.

NPPES Registry Identity

NPI1861664971
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameOLYMPIA TABITA HARRIS
Location Address7301 MISSISSIPPI DRVancouver, WA 98664
Mailing Address7301 Mississippi DrVancouver, WA 98664 · (360) 694-5480 · Fax (360) 750-4892
Phone(360) 694-5480
Fax(360) 750-4892
Sole ProprietorYes
Enumeration DateMarch 28, 2008
✔ NPI 1861664971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in WA · 650700
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
7301 MISSISSIPPI DR, Vancouver, WA 98664
Open in Google Maps ↗

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 50D2298426

Olympia's Afh · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2298426
Laboratory TypeAfh
Certificate Effective DateFebruary 1, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorOlympia Harris
Laboratory Phone(360) 694-5480
Laboratory LocationOlympia's Afh7301 Mississippi Dr, Vancouver, WA 98664
CLIA data matches this NPI record on: Address 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 Olympia Harris's NPI number?

The NPI number for Olympia Harris is 1861664971. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Olympia Harris located?

Olympia Harris practices at 7301 Mississippi Dr, Vancouver, WA 98664. The listed phone number is (360) 694-5480.

What is Olympia Harris's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Olympia Harris hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2298426) 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 Olympia Harris was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.