SISTERE INC.


Address: 1610 W Powell Blvd, Gresham, OR 97030-6843
Phone: 5036655193

SISTERE INC. (NPI# 1023243508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023243508
Entity Type Organization
Organization Name SISTERE INC.
Practice Address 1610 W Powell Blvd
Gresham
OR 97030-6843
Mailing Address Po Box 582
Gresham
OR 97030-0137
Practice Telephone 5036655193
Practice Fax Number 5036658454
Mailing Telephone 5036655193
Mailing Fax Number 5036658454
Enumeration Date 2009-05-27
Last Update Date 2010-02-18
Authorized Official Name MS. SHANNAN MAYS (ADMINISTRATER)
Authorized Official Telephone 5036655193
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 320800000X OR Residential Treatment Facilities

Office Location

Street Address 1610 W POWELL BLVD
City GRESHAM
State OR
Zip Code 97030-6843

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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