Kairos Northwest in Grants Pass - Community Based Residential Treatment Facility, Mental Illness
Kairos Northwest - NPI 1487782900
Kairos Northwest is a Community Based Residential Treatment Facility, Mental Illness in Grants Pass, Oregon. Kairos Northwest practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Kairos Northwest is 1487782900. The last update date is 2022-09-02.
Kairos Northwest's current location address is 1750 Nebraska Ave, Grants Pass, Oregon. You can contact this provider via phone number 5419564943 and fax number 5419565463. The mailing address for Kairos Northwest is 1750 Nebraska Ave, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kairos Northwest |
|---|---|
| Address | 1750 Nebraska Ave, Grants Pass, Oregon |
| Phone Number | 5419564943 |
| Fax Number | 5419565463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HR DIRECTO |
|---|---|
| Authorized Official Name | Casavant Silence |
| Telephone Number | 5419564943 |
NPI Number Detail
| NPI Number | 1487782900 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2022-09-02 |
Provider Mailing Address Detail
| Address | 1750 Nebraska Ave |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975275700 |
| Phone Number | 5419564943 |
| Fax Number | 5419565463 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 38L011 |
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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 Kairos Northwest by the Centers for Medicare & Medicaid Services (CMS)?
The Kairos Northwest has been assigned the NPI (National Provider Identifier) 1487782900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kairos Northwest?
The Kairos Northwest is physically situated at 1750 Nebraska Ave, in the city of Grants Pass, state of OR, with the postal code 975275700.
What is Kairos Northwest's area of expertise and its corresponding taxonomy classification?
The Kairos Northwest's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kairos Northwest receive its 1487782900 assignment from the Centers for Medicare & Medicaid Services?
The Kairos Northwest was assigned its 1487782900 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kairos Northwest's details last updated?
The information pertaining to the Kairos Northwest, including its address, specialty, and other details, was most recently updated on 2022-09-02.
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