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NORTHWEST ROYAL HOME CARE, LLC
NPI 1982067591
Custodial Care Facility - Adult Care Home in Vancouver, WA

Active since March 31, 2016CLIA 50D2306421 · Waiver
7029 NE FAIRWAY AVE, VANCOUVER, WA 98662(360) 524-5653 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Royal Home Care, Llc NPPES

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

NORTHWEST ROYAL HOME CARE, LLC (NPI 1982067591) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Alla Polyakov, Director Of Patient Care, as its authorized official.

NPPES Registry Identity

NPI1982067591
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameNORTHWEST ROYAL HOME CARE, LLC
Location Address7029 NE FAIRWAY AVEVancouver, WA 98662-3690
Mailing Address7029 Ne Fairway AveVancouver, WA 98662-3690
Phone(360) 524-5653
Organization SubpartNo
Authorized OfficialAlla PolyakovDirector Of Patient Care · (360) 524-5653
Enumeration DateMarch 31, 2016
✔ NPI 1982067591 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 · 751903
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.
7029 NE FAIRWAY AVE, Vancouver, WA 98662
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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 50D2306421

Northwest Royal Home Care, LLC · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2306421
Laboratory TypeAfh
Certificate Effective DateJune 17, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAlla Polyakov
Laboratory Phone(360) 524-5653
Laboratory LocationNorthwest Royal Home Care, LLC7029 NE Fairway Ave, Vancouver, WA 98662
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ALLA POLYAKOV
Registered Nurse
7029 NE FAIRWAY AVE
VANCOUVER, WA 98662
Clark County (360) 524-5653

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 Northwest Royal Home Care, LLC's NPI number?

The NPI number for Northwest Royal Home Care, LLC is 1982067591. It was assigned to this organization in the NPPES registry on March 31, 2016.

Where is Northwest Royal Home Care, LLC located?

Northwest Royal Home Care, LLC is located at 7029 NE Fairway Ave, Vancouver, WA 98662. The listed phone number is (360) 524-5653.

What is Northwest Royal Home Care, LLC's specialty?

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

Does Northwest Royal Home Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2306421) 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 Northwest Royal Home Care, LLC was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.