ADAPT


Address: 2064 Se Douglas Ave, Roseburg, OR 97470-3713
Phone: 5416735119

ADAPT (NPI# 1730362534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730362534
Entity Type Organization
Organization Name ADAPT
Other Organization Name DEER CREEK ADOLESCENT TREATMENT CENTER
Practice Address 2064 Se Douglas Ave
Roseburg
OR 97470-3713
Mailing Address Po Box 1121
Roseburg
OR 97470-0254
Practice Telephone 5416735119
Practice Fax Number 5419573734
Mailing Telephone 5416722691
Mailing Fax Number 5416735642
Enumeration Date 2007-12-14
Last Update Date 2020-08-24
Authorized Official Name BRUCE PIPER (CEO)
Authorized Official Telephone 5416722691
Is Organization Subpart Y
Parent Organization Name ADAPT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 218156 05

Other Provider/Organization Names

Other Name Type Code
Deer Creek Adolescent Treatment Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508295668 Adapt Counselor 1215 Se Court Ave, Roseburg, OR 97470-4329 2013-11-08
1174952238 Adapt Counselor 550 Se Jackson St, Roseburg, OR 97470-4923 2013-11-08
1639508708 Adapt Counselor 1036 Se Douglas Ave, Roseburg, OR 97470-3301 2013-11-08
1235568155 Adapt Counselor 1950 Winchester Ave, Reedsport, OR 97467-1151 2013-11-01
1649453440 Adapt Substance Abuse Rehabilitation Facility 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 2007-12-14
1144401043 Adapt Counselor 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 2007-11-19
1912061755 Adapt Family Medicine 671 Sw Main, Winston, OR 97496-0012 2006-12-19
1750373346 Adapt Counselor 548 Se Jackson St, Roseburg, OR 97470-4983 2005-08-18
1861967648 Adapt Clinic/Center 671 Sw Main St, Winston, OR 97496-6571 2018-10-09
1497248025 Adapt Counselor 400 Virginia Ave Ste 100, North Bend, OR 97459-3477 2018-06-08

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ADAPT 621 W Madrone St, Roseburg, OR 97470
System for Award Management (SAM) Entities ADAPT 621 W Madrone St, Roseburg, OR 97470-3090
Colorado Business Entities Adapt 14260 E 104th Ave, 4-301, Commerce City, CO 80022
Oregon Corporations, Companies and Business Names ADAPT & TRIUMPH 2757 Nw 7th St Ste A, Redmond, OR 97756
Virginia Business Entities AdaPt 2 HeaLing LLC 1806 Summit Ave Ste 300, Richmond, Virginia 23230-4339
System for Award Management (SAM) Entities ADAPT 2 IT, INC. 24100 El Toro Rd Ste E, Laguna Woods, CA 92637-3129
System for Award Management (SAM) Entities ADAPT A RAMP 170 Fuller Rd Unit 6, Ajax, ON L1S 7G8, CAN
New York State Corporations ADAPT ABILITY INC. 610 5th Ave., 1st Floor, Brooklyn, Ny 11215
New York State Corporations ADAPT ACCESSIBILITY LLC 2160 Penfield Road, Suite 11, Penfield, New York 14526
System for Award Management (SAM) Entities ADAPT AD SPECIALTY 13618 Lemay St, Van Nuys, CA 91401-1114

Office Location

Street Address 2064 SE DOUGLAS AVE
City ROSEBURG
State OR
Zip Code 97470-3713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437662921 Armando Perez Counselor 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2017-11-07
1124485925 Mary Patricia Pope-schaedler Counselor 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2016-01-25
1326405127 Ronald Farley Counselor 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2016-01-25
1639536691 Ernst Udey Shadbolt Counselor 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2016-01-21
1174980148 Dawn Linne Social Worker 2064 Se Douglas Ave, Roseburg, OR 97470-3713 2016-01-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
Find all providers in zip 97470

Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467885145 Klamath County Juvenile Department Substance Abuse Rehabilitation Facility 3331 Vandenberg Rd, Klamath Falls, OR 97603-3730 2013-08-16
1740543297 Marion County Health Department Substance Abuse Rehabilitation Facility 3529 Fisher Rd Ne, Salem, OR 97305 2012-06-20
1972864759 New Directions Northwest, Inc. Substance Abuse Rehabilitation Facility 3700 Midway Drive, Baker City, OR 97814 2012-06-07
1578864641 Klamath Tribal Health & Family Services Substance Abuse Rehabilitation Facility 121 Iowa St., Klamath Falls, OR 97601 2010-11-05
1023322690 The Northstar Center Substance Abuse Rehabilitation Facility 1195 Nw Wall St, Bend, OR 97701-1965 2010-08-05
1811215478 Rimrock Trails Adolescent Treatment Services Substance Abuse Rehabilitation Facility 16360 1st Street, La Pine, OR 97739-0305 2010-05-06
1821205246 Gail Renee Wilson Substance Abuse Rehabilitation Facility 2614 Se 115th Ave Apt 2, Portland, OR 97266-1176 2007-05-16
1851753123 Dalana Sewell Substance Abuse Rehabilitation Facility 234 W 5th St, Medford, OR 97501-2611 2016-03-24
1225403744 Looking Glass Community Services - Pathways Boys Substance Abuse Rehabilitation Facility 550 River Rd, Eugene, OR 97404-3212 2015-12-09
1265866305 Hillcrest Youth Correctional Facility-oregon Youth Authority Substance Abuse Rehabilitation Facility 2450 Strong Rd Se, Salem, OR 97302-9676 2013-08-26
Find all providers with the same taxonomy

Competitor

Search similar providers

City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

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.

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