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SHALOM HOSPICE OF PUGET SOUND LLC
NPI 1871312934
Hospice Care, Community Based in Poulsbo, WA

Active since October 07, 2024CLIA 50D2319316 · Waiver
19352 VIKING AVE NW STE C, POULSBO, WA 98370(510) 499-9977 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2024, Oct 7, 2024 (2 updates tracked since 2024).

About Shalom Hospice Of Puget Sound Llc NPPES

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

SHALOM HOSPICE OF PUGET SOUND LLC (NPI 1871312934) is a healthcare organization registered as a hospice care, community based in Poulsbo, Washington and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Samuel Stern, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871312934
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHALOM HOSPICE OF PUGET SOUND LLC
Location Address19352 VIKING AVE NW STE CPoulsbo, WA 98370-7276
Mailing Address19352 Viking Ave Nw Ste APoulsbo, WA 98370-7276 · (360) 994-1200 · Fax (360) 824-6296
Phone(510) 499-9977
Organization SubpartNo
Authorized OfficialSamuel SternCeo · (510) 499-9977
Enumeration DateOctober 7, 2024
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1871312934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
19352 VIKING AVE NW STE C, Poulsbo, WA 98370
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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 50D2319316

Shalom Hospice Of Puget Sound LLC · Poulsbo, WA
Active · expires Apr 4, 2028
CLIA Number50D2319316
Laboratory TypeAfh
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJaneen Fraser
Laboratory Phone(360) 994-1200
Laboratory LocationShalom Hospice Of Puget Sound LLC19352 Viking Ave NW Ste A, Poulsbo, WA 98370
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

What is SHALOM HOSPICE OF PUGET SOUND LLC's NPI number?

The NPI number assigned to this healthcare provider is 1871312934, enumerated as an "organization" on October 07, 2024.

Where is the provider located?

The provider is located at 19352 VIKING AVE NW STE C POULSBO, WA 98370 and the phone number is (510) 499-9977.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.