LA PINE ALF, LLC (NPI# 1487279782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487279782 |
| Entity Type | Organization |
| Organization Name | LA PINE ALF, LLC |
| Practice Address |
51485 Morson St La Pine OR 97739-9481 |
| Mailing Address |
15900 Se 82nd Dr Clackamas OR 97015-9502 |
| Practice Telephone | 5415368559 |
| 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 |
|---|---|
| Prairie House | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LA PINE ALF, LLC | 15900 Se 82nd Dr, Clackamas, OR 97015 |
| Street Address |
51485 MORSON ST |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-9481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477673473 | Prairie House Assisted Living | Assisted Living Facility | 51485 Morson St, La Pine, OR 97739-9481 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| 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 |
|---|---|---|---|---|
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1477673473 | Prairie House Assisted Living | Assisted Living Facility | 51485 Morson St, La Pine, OR 97739-9481 | 2007-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| 1881210136 | Lynn Ann Development, LLC | Assisted Living Facility | 1700 Kellenbeck Ave, Grants Pass, OR 97527-4251 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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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.