CONCEPTS IN COMMUNITY LIVING, INC. (NPI# 1619592193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619592193 |
Entity Type | Organization |
Organization Name | CONCEPTS IN COMMUNITY LIVING, INC. |
Practice Address |
1337 Sw Washington St Portland OR 97205-2328 |
Mailing Address |
15900 Se 82nd Dr Clackamas OR 97015-9502 |
Practice Telephone | 5032232144 |
Mailing Telephone | 5032554647 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Authorized Official Name | PETER VERDIECK (EVP FINANCE & ADMINISTRATION) |
Authorized Official Telephone | 5033275700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
The Taft Home | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | CONCEPTS IN COMMUNITY LIVING, INC. | 15900 Se 82nd Dr, Clackamas, OR 97015 |
Street Address |
1337 SW WASHINGTON ST |
City | PORTLAND |
State | OR |
Zip Code | 97205-2328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
Find all providers in zip 97205 |
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 |
---|---|---|---|---|
1841836673 | Gethsemane Care Services | Assisted Living Facility | 10 White Birch Ln Apt 2, Portland, ME 04103-3655 | 2019-11-27 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295921 | Devona Lynn Shepard | Assisted Living Facility | 1030 Sw 8th Ave, Ontario, OR 97914-3316 | 2020-11-05 |
1598313199 | Bernadette Frances Smith | Assisted Living Facility | 92158 Cape Arago Hwy, Coos Bay, OR 97420-8743 | 2019-08-28 |
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 |
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.