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GRACELAND CARE HOMES INC. NPI 1407256886


NPI Information

NPI: 1407256886
Provider Name: GRACELAND CARE HOMES INC.

Doing Business As: GRACELAND CARE HOMES

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1147 NE NEWPORT HEIGHTS DR
NEWPORT, OR
ZIP 97365
Phone: (541) 961-4805
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GRACELAND CARE HOMES INC. is an adult care home custodial care facility in Newport, OR. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GRACELAND CARE HOMES INC. NPI is 1407256886. The provider is registered as an organization entity type.
The provider Is Doing Business As Graceland Care Homes.

The provider's business location address is:

1147 NE NEWPORT HEIGHTS DR
NEWPORT, OR
ZIP 97365-588
Phone: (541) 961-4805
Fax: (541) 264-8219

The provider's authorized official is Ricci Brown .
The authorized official title is Secretary and has the following contact phone number (541) 961-4805.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.


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
1311ZA0620XCustodial Care FacilityAdult Care Home519910OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1542207984AMEDICARE OSCAR/CERTIFICATIONOREGON

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: 5/5/2024

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