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. The NPI number for Addie Meedom House, LLC is 1669690244 and holds license No. 085001277 (CA). The current practice location address is 1445 Parkway Dr, Crescent City, CA 95531-8021 and the office can be reached by phone at 707-464-3311. The NPI was assigned on April 22, 2007 and the record was last updated in NPPES on August 22, 2020.
●Provider Profile Details
- NPI Number
- 1669690244
- Provider Name
- Addie Meedom House, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Assisted Living Facility · 310400000X
- Organization Subpart
- No
- Authorized Official
- Joh Harder · Manager · 503-485-4600
- Enumeration Date
- April 22, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
- Other Names
- Addie Meedom House (Doing Business As)
◉Business Practice Location Address
- Address
- 1445 Parkway Dr
Crescent City, CA 95531-8021 - City
- Crescent City
- State
- California
- ZIP
- 95531-8021
- Country
- US
- Phone Number
- 707-464-3311
✉Business Mailing Address
- Address
- 3723 Fairview Industrial Dr SE
270
Salem, OR 97302-1177 - City
- Salem
- State
- OR
- ZIP
- 97302-1177
- Phone Number
- 503-485-4600
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes | 085001277 | CA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all 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) and holds license No. 085001277 (CA).
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 at npiregistry.cms.hhs.gov.