OrganizationActive
Moses Lake
NPI 1003933896 · Assisted Living Facility · Moses Lake, WA
Provider details
- NPI number
- 1003933896
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Harder, President(503) 485-4600
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8425 Aspi Blvd
Moses Lake, WA 98837-3615
Phone: (509) 762-9115
Fax: (503) 485-1279
Street-level locationGet directions
Mailing address
Po Box 3006
Salem, OR 97302-0006
Registry dates
- Enumerated
- 2007-03-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.