Addie Meedom House, LLC
Assisted Living Facility in Crescent City, California
1669690244- Practice location
- 1445 Parkway Dr, Crescent City, CA 95531-8021
- Phone
- 707-464-3311
- Fax
- —
- Last updated
- August 22, 2020
Addie Meedom House, LLC is a healthcare organization based in Crescent City, CA. Addie Meedom House, LLC practices in Crescent City, CA. The NPI Number for Addie Meedom House, LLC is 1669690244 and holds a License No. 085001277 (CA). The current practice location address for Addie Meedom House, LLC is 1445 Parkway Dr, Crescent City, CA 95531-8021 and can be reached out via phone at 707-464-3311.
Provider Profile Details
- NPI Number
- 1669690244
- Provider Name
- Addie Meedom House, LLC
- Provider Entity Type
- Organization
- Address
- 1445 Parkway Dr, Crescent City, CA 95531-8021
- Phone Number
- 707-464-3311
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Joh Harder · Manager · 503-485-4600
- Other Names
- Addie Meedom House (Doing Business As)
- Provider Enumeration Date
- April 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1445 Parkway Dr
Crescent City, CA 95531-8021 - City
- Crescent City
- State
- California
- Zip
- 95531-8021
- Phone Number
- 707-464-3311
Provider Business Mailing Address Details
- Address
- 3723 Fairview Industrial Dr SE
270
Salem, OR 97302-1177 - City
- Salem
- State
- OR
- Zip
- 97302-1177
- Phone Number
- 503-485-4600
License Information
- License Number
- 085001277
- License State
- CA
- Taxonomy
- Assisted Living Facility · 310400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Assisted Living Facility providers near Crescent City, CA
View all Assisted Living Facility providers in Crescent City →Frequently Asked Questions
What is the NPI number of Addie Meedom House, LLC?
The NPI number of Addie Meedom House, LLC is 1669690244. It was assigned on April 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Addie Meedom House, LLC?
Addie Meedom House, LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X), licensed in CA under license number 085001277.
Where does Addie Meedom House, LLC practice?
The practice location is 1445 Parkway Dr, Crescent City, CA 95531-8021. The office can be reached at 707-464-3311 (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 1669690244 directly on the NPPES registry website.