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CALLAHAN VILLAGE II LLC NPI 1730307331


NPI Information

NPI: 1730307331
Provider Name: CALLAHAN VILLAGE II, LLC

Doing Business As: CALLAHAN VILLAGE ASSISTED LIVING COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1801 NW GARDEN VALLEY BLVD
ROSEBURG, OR
ZIP 97470
Phone: (541) 673-4500
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CALLAHAN VILLAGE II, LLC is an assisted living facility in Roseburg, 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. CALLAHAN VILLAGE II, LLC NPI is 1730307331. The provider is registered as an organization entity type.
The provider Is Doing Business As Callahan Village Assisted Living Community.

The provider's business location address is:

1801 NW GARDEN VALLEY BLVD
ROSEBURG, OR
ZIP 97470-627
Phone: (541) 673-4500

The provider's authorized official is Jon Harder .
The authorized official title is Manager and has the following contact phone number (503) 485-4600.

The enumeration date for this NPI number is 4/22/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityOREGONYes

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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