Childerns Farm Home in Corvallis - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Childerns Farm Home - NPI 1457561524
Childerns Farm Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Corvallis, Oregon. Childerns Farm Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Childerns Farm Home is 1457561524. The last update date is 2020-08-22.
Childerns Farm Home's current location address is 2820 Se Glenn St, Corvallis, Oregon. You can contact this provider via phone number 5417501121. The mailing address for Childerns Farm Home is 2820 Se Glenn St, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childerns Farm Home |
|---|---|
| Address | 2820 Se Glenn St, Corvallis, Oregon |
| Phone Number | 5417501121 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LEAD TTL P |
|---|---|
| Authorized Official Name | Copeland Taylor Joshua |
| Telephone Number | 5417501121 |
NPI Number Detail
| NPI Number | 1457561524 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2820 Se Glenn St |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973332121 |
| Phone Number | 5417501121 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code issued to Childerns Farm Home by the Centers for Medicare & Medicaid Services?
The Childerns Farm Home has been assigned the NPI (National Provider Identifier) 1457561524 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Childerns Farm Home's facilities are geographically located?
The facilities of Childerns Farm Home are physically situated at the following location: 2820 Se Glenn St, Corvallis, OR, 973332121.
What is Childerns Farm Home'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 Childerns Farm Home is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320600000X.
When did the Childerns Farm Home receive its 1457561524?
The Childerns Farm Home was issued its 1457561524 on 2007-05-23, which is the date when the organization was assigned this unique identifier.
When was the Childerns Farm Home's information last updated?
The Childerns Farm Home's information was last updated on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC