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AMAZING GRACE CARE HOMES INCESIDENT NPI 1376081810


NPI Information

NPI: 1376081810
Provider Name: AMAZING GRACE CARE HOMES, INCESIDENT
Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
1205 BARNES AVE SE
SALEM, OR
ZIP 97306
Phone: (503) 999-8159
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AMAZING GRACE CARE HOMES, INCESIDENT is an assisted living and behavioral disturbances assisted living facility in Salem, OR. The provider is 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. AMAZING GRACE CARE HOMES, INCESIDENT NPI is 1376081810. The provider is registered as an organization entity type.

The provider's business location address is:

1205 BARNES AVE SE
SALEM, OR
ZIP 97306-539
Phone: (503) 999-8159

The provider's authorized official is Sherri M Jemison .
The authorized official title is President and has the following contact phone number (503) 999-8159.

The enumeration date for this NPI number is 2/4/2017 and was last updated on 2/4/2017.


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
13104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances511482OREGONYes

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
1500500049OTHEROREGONMARION COUNTY MENTAL HEALTH AFC PROVIDER

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: 11/14/2023

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