Active NPIOrganization

Beaverton Hills Assisted Living Residence, LLC

Point of Service in Salem, Oregon

NPI Number1568674034
Practice location
3220 State St, Suite 200, Salem, OR 97301-6872
Fax
506-588-3531
Last updated
October 4, 2007

Beaverton Hills Assisted Living Residence, LLC is a healthcare organization based in Salem, OR. Beaverton Hills Assisted Living Residence, LLC practices in Salem, OR. The NPI Number for Beaverton Hills Assisted Living Residence, LLC is 1568674034. The current practice location address for Beaverton Hills Assisted Living Residence, LLC is 3220 State St, Suite 200, Salem, OR 97301-6872 and can be reached out via phone at 503-566-5715 and via fax at 506-588-3531.

Provider Profile Details

NPI Number
1568674034
Provider Name
Beaverton Hills Assisted Living Residence, LLC
Provider Entity Type
Organization
Address
3220 State St, Suite 200, Salem, OR 97301-6872
Phone Number
503-566-5715
Fax Number
506-588-3531
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. Kelley D Hamilton · Ceo-President Of Manager · 503-566-5715
Other Names
Beaverton Hills Assisted Living Residence (Doing Business As)
Provider Enumeration Date
May 4, 2007
Last Update Date
October 4, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3220 State St
Suite 200
Salem, OR 97301-6872
City
Salem
State
Oregon
Zip
97301-6872
Phone Number
503-566-5715
Fax Number
506-588-3531
Salem, OR 97301Get directions →

Provider Business Mailing Address Details

Address
4525 SW 99TH Ave
Beaverton, OR 97005-3342
City
Beaverton
State
OR
Zip
97005-3342
Phone Number
503-520-1350
Fax Number
503-671-0511

License Information

License State
OR
Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beaverton Hills Assisted Living Residence, LLC?

The NPI number of Beaverton Hills Assisted Living Residence, LLC is 1568674034. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Beaverton Hills Assisted Living Residence, LLC?

Beaverton Hills Assisted Living Residence, LLC is registered under the primary taxonomy Point of Service (code 305S00000X).

Where does Beaverton Hills Assisted Living Residence, LLC practice?

The practice location is 3220 State St, Suite 200, Salem, OR 97301-6872. The office can be reached at 503-566-5715 (phone) or 506-588-3531 (fax).

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 1568674034 directly on the NPPES registry website.

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