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817 East Plum Street Opco, LLC

NPI 1043165954ActiveOrganization· Skilled Nursing Facility· Moses Lake, WA

Skilled Nursing Facility in Moses Lake, Washington, registered in NPPES in March 2026. The authorized official on file is Avrohom Tress, Executive Vice President.

Overview

NPI1043165954
StatusActive
Entity typeOrganization
NPI issuedMar 4, 2026
Last updated in NPPESOct 21, 2026
Certified by providerOct 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Moses Lake

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