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LAUREL COVE COMMUNITY ASSISTED LIVING
NPI 1962096545
Assisted Living Facility in Shoreline, WA

Active since February 24, 2021CLIA 50D2121774 · Waiver
17201 15TH AVE NE, SHORELINE, WA 98155(360) 801-6389(360) 779-3736 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laurel Cove Community Assisted Living NPPES

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

LAUREL COVE COMMUNITY ASSISTED LIVING (NPI 1962096545) is a healthcare organization registered as an assisted living facility in Shoreline, Washington and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jacob Schaefer, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1962096545
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSANTE SHORELINE ALF OP CO LLC
Location Address17201 15TH AVE NEShoreline, WA 98155-5129
Mailing Address17201 15th Ave NeShoreline, WA 98155-5129 · (360) 801-6389 · Fax (360) 779-3736
Phone(360) 801-6389
Fax(360) 779-3736
Organization SubpartNo
Authorized OfficialJacob SchaeferExecutive Vice President · (503) 201-8356
Enumeration DateFebruary 24, 2021
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1962096545 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.
17201 15TH AVE NE, Shoreline, WA 98155
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Other Names 1

Doing Business AsLaurel Cove Community Assisted Living

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 50D2121774

Laurel Cove Community · Shoreline, WA
Active · expires Apr 4, 2028
CLIA Number50D2121774
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 14, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJoie Burruss
Laboratory Phone(206) 364-9336
Laboratory LocationLaurel Cove Community17201 15th Ave NE, Shoreline, WA 98155
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANCY GARDNER PTA
Physical Therapy Assistant
17201 15TH AVE NE
SHORELINE, WA 98155
King County (206) 364-9336
MR. MICHAEL GARNET REASNER PTA
Skilled Nursing Facility
17201 15TH AVE NE
SHORELINE, WA 98155
King County (206) 364-9336
ANDREW JENNISON CF-SLP
Speech-Language Pathologist
17201 15TH AVE NE
SHORELINE, WA 98155
King County (206) 364-9336
JOSHUA DECASTRO PTA
Physical Therapy Assistant
17201 15TH AVE NE
SHORELINE, WA 98155
King County (206) 364-9336

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 Sante Shoreline Alf Op Co LLC's NPI number?

The NPI number for Sante Shoreline Alf Op Co LLC is 1962096545. It was assigned to this organization in the NPPES registry on February 24, 2021. The provider is doing business as Laurel Cove Community Assisted Living.

Where is Sante Shoreline Alf Op Co LLC located?

Sante Shoreline Alf Op Co LLC is located at 17201 15th Ave NE, Shoreline, WA 98155. The listed phone number is (360) 801-6389.

What is Sante Shoreline Alf Op Co LLC's specialty?

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

Does Sante Shoreline Alf Op Co LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2121774) 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 Sante Shoreline Alf Op Co LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.