FIR HILL GROUP HOME LLC (NPI# 1003061987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003061987 |
Entity Type | Organization |
Organization Name | FIR HILL GROUP HOME LLC |
Practice Address |
1487 Main St Dallas OR 97338-2520 |
Practice Telephone | 5036234230 |
Practice Fax Number | 5036234230 |
Mailing Telephone | 5036234230 |
Mailing Fax Number | 5036234230 |
Enumeration Date | 2008-11-19 |
Last Update Date | 2010-08-19 |
Authorized Official Name | PAMELA A HITCHCOCK (ADMINISTRATOR) |
Authorized Official Telephone | 5036234230 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 508233 | OR | Residential Treatment Facilities |
Street Address |
1487 MAIN ST |
City | DALLAS |
State | OR |
Zip Code | 97338-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164932042 | Stephanie Marie Renfro | Massage Therapist | 289 E Ellendale Ave #601, Dallas, OR 97338 | 2017-10-05 |
1588185953 | Herbert Starr Woodward IIi | Dentist | 201 Se Washington St, Dallas, OR 97338 | 2017-07-06 |
1851708077 | David Mooso | Pharmacist | 321 Nw Kings Valley Highway, Dallas, OR 97338 | 2014-07-21 |
1841615556 | Leslie Lytle | Counselor | 1020 Sw Maple St., Dallas, OR 97338 | 2014-03-04 |
1205265493 | Chung-fan Ni | Counselor | 182 S. W. Academy St., Academy Building, Dallas, OR 97338 | 2013-11-07 |
1215204300 | Ron Fritz | Counselor | 239 E. Ellendale, Suite 602, Dallas, OR 97338 | 2011-11-17 |
1235420167 | Deborah Kennedy | Counselor | 527 Ne Fern Ave, Dallas, OR 97338 | 2011-04-26 |
1821229774 | Chelsea Ruhoff Lee | Physician Assistant | 1000 Se Uglow Avenue, Flaming Medical Center, Dallas, OR 97338 | 2009-07-27 |
1013128560 | Larry J Vuylsteke | Social Worker | 182 S.w. Academy, Dallas, OR 97338 | 2007-05-25 |
1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
Find all providers in zip 97338 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
1629468871 | Krspatelpack,llc | Community Based Residential Treatment Facility, Mental Illness | 1535 West Mockingbird Lane, Suite #400, Dallas, TX 75235 | 2015-01-27 |
1508283631 | Renew Consulting, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1282 Se Greening Dr, Dallas, OR 97338-9227 | 2014-03-26 |
1295967701 | Ezekiel Adeyanju Ojebode | Community Based Residential Treatment Facility, Mental Illness | 11312 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75238-3152 | 2009-08-17 |
1366563231 | Sinai House | Community Based Residential Treatment Facility, Mental Illness | 2719 Holmes St, Dallas, TX 75215-2746 | 2007-04-02 |
1467595827 | Turtle Creek Manor, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2707 Routh St, Dallas, TX 75201-1927 | 2007-02-15 |
1649358433 | Community Based Alternatives for Youth | Community Based Residential Treatment Facility, Mental Illness | 815 Limerick Drive, Dallas, NC 28034-9420 | 2006-11-01 |
1518327766 | Infinity Hcs Group Home Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Heather Glen Dr, Dallas, TX 75232-2313 | 2016-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.