MRS. BERNADETTE FRANCES SMITH (NPI# 1598313199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598313199 |
| Entity Type | Individual |
| Full Name | MRS. BERNADETTE FRANCES SMITH |
| Other Name | MISS BERNADETTE FRANCES WEEKS |
| Credential | ADULT FOSTER CARE PR |
| Practice Address |
92158 Cape Arago Hwy Coos Bay OR 97420-8743 |
| Practice Telephone | 5418883972 |
| Mailing Telephone | 5418883972 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
500765185 | OR | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164795902 | Bernadette Smith | Counselor | 7903 Harvel Dr, Sandy, UT 84070-0118 | 2012-02-09 |
| 1538366166 | Bernadette Smith | Registered Nurse | 1735 S Tremont St, Oceanside, CA 92054-5308 | 2007-06-28 |
| 1306314455 | Bernadette Smith | Counselor | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2018-11-07 |
| 1063857431 | Bernadette Pearline Smith | Counselor | 4410 Navigation Blvd, Houston, TX 77011-1036 | 2013-04-30 |
| 1326251802 | Bernadette R. Smith | Audiologist-Hearing Aid Fitter | 1601 W. St. Mary's Road, Tucson, AZ 85745 | 2007-05-08 |
| Street Address |
92158 CAPE ARAGO HWY, |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-8743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295921 | Devona Lynn Shepard | Assisted Living Facility | 1030 Sw 8th Ave, Ontario, OR 97914-3316 | 2020-11-05 |
| 1619592193 | Concepts In Community Living, Inc. | Assisted Living Facility | 1337 Sw Washington St, Portland, OR 97205-2328 | 2020-06-10 |
| 1376081810 | Amazing Grace Care Homes, Incesident | Assisted Living Facility | 1205 Barnes Ave Se, Salem, OR 97306-1539 | 2017-02-04 |
| 1477090504 | Michelle Hasson | Assisted Living Facility | 4548 Sw 191st Ave, Aloha, OR 97078-2425 | 2017-01-26 |
| 1508215252 | Meadowland Adult Foster Home LLC | Assisted Living Facility | 706 Meadow Ave, Tillamook, OR 97141-2844 | 2016-06-03 |
| 1447636071 | Community Services, Inc. | Assisted Living Facility | 14215 Nw Science Park Dr, Portland, OR 97229-5416 | 2015-08-05 |
| 1346589728 | Nursefinders | Assisted Living Facility | 5510 Nw 146th Ave, Portland, OR 97229-9263 | 2013-02-05 |
| 1437317229 | Ocean Park | Assisted Living Facility | 984 Parkview Dr, Brookings, OR 97415-9116 | 2008-05-28 |
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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.