HARTFORD HOME (NPI# 1285044636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285044636 |
| Entity Type | Organization |
| Organization Name | HARTFORD HOME |
| Practice Address |
294 Whitman St S Monmouth OR 97361-2035 |
| Practice Telephone | 5038382114 |
| Practice Fax Number | 5038370683 |
| Mailing Telephone | 5038382114 |
| Mailing Fax Number | 5038370683 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | MR. KAIOLANI B CALIP (MANAGER/ADMINISTRATOR/COORDINATOR) |
| Authorized Official Telephone | 5038382114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
519091 | OR | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HARTFORD HOME | 294 Whitman St, Monmouth, OR 97361 |
| Connecticut Business Registrations | HARTFORD HOME INVESTMENTS, INCORPORATED | C/o I Steiner, 130 Ridgewood Rd, W Hartford, CT 06107 |
| Connecticut Business Registrations | HARTFORD HOME PHYSICAL THERAPY, LLC | 77 Penn Drive, West Hartford, CT 06119 |
| Colorado Business Entities | Hartford Homes at Enchantment Ridge, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at Harvest Village, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at Hunter's Cove, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at Mosaic, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at RiverRun, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at TimberVine, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Colorado Business Entities | Hartford Homes at West Horsetooth, LLC | 4801 Goodman Street, Timnath, CO 80547 |
| Street Address |
294 WHITMAN ST S |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508000654 | New Foundations, LLC | Community Based Residential Treatment Facility, Mental Illness | 294 Whitman St S, Monmouth, OR 97361-2035 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| Find all providers in zip 97361 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239940 | Jens Monroe Nelson | Assisted Living Facility | 4075 32nd Pl Ne, Salem, OR 97301-6754 | 2015-07-01 |
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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.