Beaverton Hills Assisted Living Residence, Llc in Salem - Point Of Service
Beaverton Hills Assisted Living Residence, Llc - NPI 1568674034
Beaverton Hills Assisted Living Residence, Llc is a Point Of Service in Salem, Oregon. Beaverton Hills Assisted Living Residence, Llc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Beaverton Hills Assisted Living Residence, Llc is 1568674034. The last update date is 2007-10-04.
Beaverton Hills Assisted Living Residence, Llc's current location address is 3220 State St, Salem, Oregon. You can contact this provider via phone number 5035665715 and fax number 5065883531. The mailing address for Beaverton Hills Assisted Living Residence, Llc is 3220 State St, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beaverton Hills Assisted Living Residence, Llc |
|---|---|
| Address | 3220 State St, Salem, Oregon |
| Phone Number | 5035665715 |
| Fax Number | 5065883531 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO-PRESID |
|---|---|
| Authorized Official Name | Hamilton D Kelley |
| Telephone Number | 5035665715 |
NPI Number Detail
| NPI Number | 1568674034 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 3220 State St |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973016872 |
| Phone Number | 5035665715 |
| Fax Number | 5065883531 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72220586 | OR | REGISTRY # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Beaverton Hills Assisted Living Residence, Llc?
The Beaverton Hills Assisted Living Residence, Llc has been issued the NPI (National Provider Identifier) 1568674034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Beaverton Hills Assisted Living Residence, Llc is physically located?
The Beaverton Hills Assisted Living Residence, Llc is physically situated at the following address: 3220 State St, Salem, OR, 973016872.
What is Beaverton Hills Assisted Living Residence, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Beaverton Hills Assisted Living Residence, Llc is Point Of Service, and the taxonomy classification code that categorizes this area of expertise is 305S00000X.
When did the Beaverton Hills Assisted Living Residence, Llc receive its 1568674034?
The Beaverton Hills Assisted Living Residence, Llc was issued its 1568674034 on 2007-05-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Beaverton Hills Assisted Living Residence, Llc's details last updated?
The information pertaining to the Beaverton Hills Assisted Living Residence, Llc, including its address, specialty, and other details, was most recently updated on 2007-10-04.