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FISHER'S LANDING ASSISTED LIVING COMMUNITY
NPI 1992825921
Assisted Living Facility in Vancouver, WA

Active since March 31, 2007CLIA Certified · 2 labs
17171 SE 22ND DR, VANCOUVER, WA 98683(360) 885-1400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fisher's Landing Assisted Living Community NPPES

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

FISHER'S LANDING ASSISTED LIVING COMMUNITY (NPI 1992825921) is a healthcare organization registered as an assisted living facility in Vancouver, Washington and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Jon Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1992825921
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVANCOUVER SENIOR LIVING, LLC
Location Address17171 SE 22ND DRVancouver, WA 98683-3309
Mailing Address3723 Fairview Industrial Dr Se Ste 270Salem, OR 97302-4975 · (503) 485-4600
Phone(360) 885-1400
Organization SubpartNo
Authorized OfficialJon HarderManager · (503) 485-4600
Enumeration DateMarch 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1992825921 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 · BH 1847
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.
17171 SE 22ND DR, Vancouver, WA 98683
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Other Names 1

Doing Business AsFisher's Landing Assisted Living Community

CLIA Laboratory Certificates CMS CLIA 2

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 50D2018585

Fishers Landing Assisted Living Community · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2018585
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 10, 2011
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmanda Kelly
Laboratory Phone(360) 885-1400
Laboratory LocationFishers Landing Assisted Living Community17171 SE 22nd Dr, Vancouver, WA 98683
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2333463

Vancouver Senior Living · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2333463
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJennifer Stafsholt
Laboratory Phone(360) 695-9281
Laboratory LocationVancouver Senior Living1000 NE 82nd Ave, Vancouver, WA 98664
CLIA data matches this NPI record on: Name
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.

EMERITUS CORPORATION
Assisted Living Facility
17171 SE 22ND DR
VANCOUVER, WA 98683
Clark County (360) 885-1400

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 Vancouver Senior Living, LLC's NPI number?

The NPI number for Vancouver Senior Living, LLC is 1992825921. It was assigned to this organization in the NPPES registry on March 31, 2007. The provider is doing business as Fisher's Landing Assisted Living Community.

Where is Vancouver Senior Living, LLC located?

Vancouver Senior Living, LLC is located at 17171 SE 22nd Dr, Vancouver, WA 98683. The listed phone number is (360) 885-1400.

What is Vancouver Senior Living, LLC's specialty?

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

Does Vancouver Senior Living, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vancouver Senior Living, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.