WILLSON HOUSE (NPI# 1154946457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154946457 |
| Entity Type | Organization |
| Organization Name | WILLSON HOUSE |
| Practice Address |
1625 Center St Ne Salem OR 97301-4268 |
| Mailing Address |
15900 Se 82nd Dr Clackamas OR 97015-9502 |
| Practice Telephone | 5035856511 |
| Mailing Telephone | 5032554647 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | PETER VERDIECK (EVP FINANCE & ADMINISTRATION) |
| Authorized Official Telephone | 5032554647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Willson House Residential Care Facility | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLSON HOUSE | 1625 Center Street Ne, Salem, OR 97301 |
| Oregon Corporations, Companies and Business Names | WILLSON HOUSE RESIDENTIAL CARE FACILITY | 1625 Center Ne, Salem, OR 97301 |
| Street Address |
1625 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290231 | Fm Redwood Heights, LLC | Assisted Living Facility | 4050 12th St Cutoff Se, Salem, OR 97302-1775 | 2020-06-19 |
| 1720604499 | Fm Cedar Village, LLC | Assisted Living Facility | 4452 Lancaster Dr Ne, Salem, OR 97305-1697 | 2020-06-18 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1902040769 | Regency At Salem, LLC | Assisted Living Facility | 4710 Sunnyside Rd Se, Salem, OR 97302-3504 | 2009-04-23 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1750522389 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1916 S Lincoln Ave, Salem, OH 44460-4385 | 2009-03-11 |
| 1265694111 | Meadow Creek Limited Partnership | Assisted Living Facility | 3988 12th St Se, Salem, OR 97302 | 2008-07-01 |
| 1730347097 | Salem Elderly Living LLC | Assisted Living Facility | 600 S Hill St, Salem, SD 57058-8707 | 2008-05-22 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| Find all providers in SALEM | ||||
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| 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.