ADVANCED DISABILITY SERVICES INC NPI 1083947972

NPI Information

NPI: 1083947972
Provider Name: ADVANCED DISABILITY SERVICES, INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7020 SW COUNTRY CLUB DR
CORVALLIS, OR
ZIP 97333
Phone: (541) 929-7454
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ADVANCED DISABILITY SERVICES, INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Corvallis, OR. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ADVANCED DISABILITY SERVICES, INC NPI is 1083947972. The provider is registered as an organization entity type.

The provider's business location address is:

7020 SW COUNTRY CLUB DR
CORVALLIS, OR
ZIP 97333-615
Phone: (541) 929-7454

The provider's authorized official is Jason Bratsouleas .
The authorized official title is Owner/ceo and has the following contact phone number (541) 929-7454.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 9/10/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		90025176060909D	OREGON	Yes

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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