Active NPI
Clay-Davis Stroud, LLC
Doing business as Sun Terrace at Prosser
- Assisted Living Facility
- Prosser, WA
National Provider Identifier
1710166145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CLAY-DAVIS STROUD, LLC
- Doing business as
- Sun Terrace at Prosser
- Practice address
- 2131 Wine Country Rd
Prosser, WA 99350-1389 - Phone
- (509) 796-3300
- NPI assigned
- Nov 1, 2007
- Last updated
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Devore
- Title
- Cfo
- Phone
- (425) 392-4066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
2131 Wine Country Rd
Prosser, WA 99350-1389
Mailing address
2131 Wine Country Rd
Prosser, WA 99350-1389
Phone (509) 796-3300
Other names 1
- SUN TERRACE AT PROSSER
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2113882 | Sun Terrace Prosser | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
2131 Wine Country Rd
Prosser, WA 99350
Phone (509) 796-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1710166145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 WINE COUNTRY RD",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501389",
"telephone_number": "509-796-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 WINE COUNTRY RD",
"city": "PROSSER",
"state": "WA",
"postal_code": "993501389",
"telephone_number": "509-796-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAY-DAVIS STROUD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "DEVORE",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "425-392-4066"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUN TERRACE AT PROSSER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prosser, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.