Habilitation Coalition, Llc in Bend - Community Based Residential Treatment Facility, Mental Illness
Habilitation Coalition, Llc - NPI 1770754780
Habilitation Coalition, Llc is a Community Based Residential Treatment Facility, Mental Illness in Bend, Oregon. Habilitation Coalition, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Habilitation Coalition, Llc is 1770754780. The last update date is 2008-04-23.
Habilitation Coalition, Llc's current location address is 3316 Cruise Loop, Bend, Oregon. You can contact this provider via phone number 5416471269 and fax number 5416471270. The mailing address for Habilitation Coalition, Llc is 3316 Cruise Loop, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Habilitation Coalition, Llc |
|---|---|
| Address | 3316 Cruise Loop, Bend, Oregon |
| Phone Number | 5416471269 |
| Fax Number | 5416471270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Monahan Melissa |
| Credentials | MC |
| Telephone Number | 5416471269 |
NPI Number Detail
| NPI Number | 1770754780 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 3316 Cruise Loop |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977018276 |
| Phone Number | 5416471269 |
| Fax Number | 5416471270 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique identifier code issued to Habilitation Coalition, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Habilitation Coalition, Llc has been assigned the NPI (National Provider Identifier) 1770754780. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Habilitation Coalition, Llc is located?
The Habilitation Coalition, Llc is situated at the following address: 3316 Cruise Loop, Bend, OR, 977018276.
What is Habilitation Coalition, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Habilitation Coalition, Llc's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
On what date did Habilitation Coalition, Llc receive its 1770754780 assignment from the Centers for Medicare & Medicaid Services?
The Habilitation Coalition, Llc was assigned its 1770754780 on 2008-03-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Habilitation Coalition, Llc most recently updated?
The details pertaining to the Habilitation Coalition, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-04-23.