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CHILDRENS FARM HOME NPI 1942401781


NPI Information

NPI: 1942401781
Provider Name: CHILDRENS FARM HOME
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330
Phone: (541) 758-5900
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CHILDRENS FARM HOME is a residential treatment facility emotionally disturbed children in Corvallis, OR. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CHILDRENS FARM HOME NPI is 1942401781. The provider is registered as an organization entity type.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 758-5900

The provider's authorized official is Marc Smith .
The authorized official title is Lead Team Treatment Leader and has the following contact phone number (541) 758-5909.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

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

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