DEVONA LYNN SHEPARD (NPI# 1881295921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881295921 |
Entity Type | Individual |
Full Name | DEVONA LYNN SHEPARD |
Practice Address |
1030 Sw 8th Ave Ontario OR 97914-3316 |
Practice Telephone | 2087410741 |
Mailing Telephone | 2087410741 |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |
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 |
519197 | OR | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 6898 | 05 |
Street Address |
1030 SW 8TH AVE |
City | ONTARIO |
State | OR |
Zip Code | 97914-3316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
Find all providers in zip 97914 |
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 |
---|---|---|---|---|
1619592193 | Concepts In Community Living, Inc. | Assisted Living Facility | 1337 Sw Washington St, Portland, OR 97205-2328 | 2020-06-10 |
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 |
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.