Organization Active NPI

Clay-Davis Stroud, LLC

Doing business as Sun Terrace at Prosser

  • Assisted Living Facility
  • Prosser, WA
National Provider Identifier
1710166145
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2113882Sun Terrace Prosser2131 Wine Country Rd, Prosser, WA 99350Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.