Clearwater Springs Al Gr, LLC
NPI 1114543501ActiveOrganization· Assisted Living Facility· Vancouver, WA
Assisted Living Facility in Vancouver, Washington, registered in NPPES in June 2020. The authorized official on file is Gregory Roderick, Member.
Overview
| NPI | 1114543501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2020 |
| Last updated in NPPES | Jun 22, 2020 |
| Certified by provider | Jun 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 25 assisted living facilities in Vancouver · All assisted living facilities in Washington