Provider Type Icon

OAK LANE LLC NPI 1205097342


NPI Information

NPI: 1205097342
Provider Name: OAK LANE, LLC

Doing Business As: OAK LANE RETIREMENT

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
727 SW ROGUE RIVER AVE
GRANTS PASS, OR
ZIP 97526
Phone: (541) 476-7727
Get Directions

OAK LANE, LLC is an assisted living facility in Grants Pass, OR. The provider is 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. OAK LANE, LLC NPI is 1205097342. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Lane Retirement.

The provider's business location address is:

727 SW ROGUE RIVER AVE
GRANTS PASS, OR
ZIP 97526-777
Phone: (541) 476-7727
Fax: (541) 479-1362

The provider's authorized official is Elizabeth Marie Moss .
The authorized official title is Director Of Risk Management and has the following contact phone number (503) 588-2725.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility1237468898OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1513603MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.