CHILDREN FARM HOME NPI 1760827182

NPI Information

  • NPI: 1760827182
  • Provider Name: CHILDREN FARM HOME
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • CLIA Number: 38D2153461
  • Address: 4455 NE HIGHWAY 20
    CORVALLIS, OR
    ZIP 97330
  • Phone: (541) 757-1852

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NPI Details

CHILDREN 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. CHILDREN FARM HOME NPI is 1760827182. 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) 757-1852

The provider's authorized official is Walker Cook Vave .
The authorized official title is Skills Trainer and has the following contact phone number (541) 758-5944.

The CLIA number assigned to this NPI record is 38D2153461 - other - res mental health facilty with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children101Y00000XOREGONYes

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: 11/21/2025

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