817 East Plum Street Opco, LLC
Skilled Nursing Facility in Moses Lake, Washington
1043165954- Practice location
- 817 E Plum St, Moses Lake, WA 98837-1870
- Phone
- 323-928-9445
- Fax
- —
- Last updated
- October 21, 2026
817 East Plum Street Opco, LLC is a healthcare organization based in Moses Lake, WA. 817 East Plum Street Opco, LLC practices in Moses Lake, WA. The NPI Number for 817 East Plum Street Opco, LLC is 1043165954. The current practice location address for 817 East Plum Street Opco, LLC is 817 E Plum St, Moses Lake, WA 98837-1870 and can be reached out via phone at 323-928-9445.
Provider Profile Details
- NPI Number
- 1043165954
- Provider Name
- 817 East Plum Street Opco, LLC
- Provider Entity Type
- Organization
- Address
- 817 E Plum St, Moses Lake, WA 98837-1870
- Phone Number
- 323-928-9445
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Avrohom Tress · Executive Vice President · 323-928-9445
- Other Names
- Lake Ridge Post Acute (Doing Business As)
- Provider Enumeration Date
- March 4, 2026
- Last Update Date
- October 21, 2026
- Certification Date
- October 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 817 E Plum St
Moses Lake, WA 98837-1870 - City
- Moses Lake
- State
- Washington
- Zip
- 98837-1870
- Phone Number
- 323-928-9445
Provider Business Mailing Address Details
- Address
- 9526 W Pico Blvd
Los Angeles, CA 90035-1202 - City
- Los Angeles
- State
- CA
- Zip
- 90035-1202
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Moses Lake, WA
View all Skilled Nursing Facility providers in Moses Lake →Frequently Asked Questions
What is the NPI number of 817 East Plum Street Opco, LLC?
The NPI number of 817 East Plum Street Opco, LLC is 1043165954. It was assigned on March 4, 2026 and is currently active in the NPPES registry.
What is the specialty of 817 East Plum Street Opco, LLC?
817 East Plum Street Opco, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does 817 East Plum Street Opco, LLC practice?
The practice location is 817 E Plum St, Moses Lake, WA 98837-1870. The office can be reached at 323-928-9445 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043165954 directly on the NPPES registry website.