1. Home
  2. Directory
  3. Washington
  4. Shelton
  5. Assisted Living Facility
  6. NPI Profile

MAPLE GLEN ASSISTED LIVING
NPI 1891911012
Assisted Living Facility in Shelton, WA

Active since April 17, 2007CLIA 50D2350181 · Waiver
1700 N 13TH LOOP RD, SHELTON, WA 98584(360) 427-0300(360) 427-0303 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Maple Glen Assisted Living NPPES

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

MAPLE GLEN ASSISTED LIVING (NPI 1891911012) is a healthcare organization registered as an assisted living facility in Shelton, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kelley Crabtree, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891911012
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHELTON ASSISTED LIVING
Location Address1700 N 13TH LOOP RDShelton, WA 98584-2167
Mailing Address4610 Ne 77th Ave, Suite #132Vancouver, WA 98662-6789 · (360) 449-4524 · Fax (360) 449-4525
Phone(360) 427-0300
Fax(360) 427-0303
Organization SubpartNo
Authorized OfficialKelley CrabtreeExecutive Director · (360) 427-0300
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891911012 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 · BH1447
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.
1700 N 13TH LOOP RD, Shelton, WA 98584
Open in Google Maps ↗

Other Names 1

Doing Business AsMaple Glen Assisted Living

Other Identifiers 1

Medicaid938589WA

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 50D2350181

Maple Glen Assisted Living Community · Shelton, WA
Active · expires Apr 4, 2028
CLIA Number50D2350181
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCara Marschke
Laboratory Phone(360) 427-0300
Laboratory LocationMaple Glen Assisted Living Community1700 N 13th Loop Rd, Shelton, WA 98584
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 Shelton Assisted Living's NPI number?

The NPI number for Shelton Assisted Living is 1891911012. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Maple Glen Assisted Living.

Where is Shelton Assisted Living located?

Shelton Assisted Living is located at 1700 N 13th Loop Rd, Shelton, WA 98584. The listed phone number is (360) 427-0300.

What is Shelton Assisted Living's specialty?

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

Does Shelton Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2350181) 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 Shelton Assisted Living was last updated on August 22, 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.