OPTIONS FOR SOUTHERN OREGON (NPI# 1083859979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083859979 |
| Entity Type | Organization |
| Organization Name | OPTIONS FOR SOUTHERN OREGON |
| Other Organization Name | CARNAHAN COURT |
| Practice Address |
1644 Carnahan Dr Grants Pass OR 97527-4724 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Practice Fax Number | 5414793514 |
| Mailing Telephone | 5414762373 |
| Mailing Fax Number | 5414793514 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2017-07-03 |
| Authorized Official Name | MR. KARLA MCCAFFERTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5414762373 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAID RTF PROVIDER NUMBER | 516358 | 01 |
| OR | MEDICAID AGENCY PROVIDER # 11/08 | 500500016 | 01 |
| OR | MEDICAID AGENCY # | 209973 | 01 |
| Other Name | Type Code |
|---|---|
| Carnahan Court | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 310 Bushnell Way, Grants Pass, OR 97527-9103 | 2015-05-11 |
| 1023253770 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2008-12-10 |
| 1346485042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 900 Hitching Post Rd, Grants Pass, OR 97526-9710 | 2008-12-09 |
| 1558366492 | Options for Southern Oregon | Case Management | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2005-06-16 |
| 1205489994 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-07-22 |
| 1831651843 | Options for Southern Oregon | Case Management | 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | 2019-04-01 |
| 1225559222 | Options for Southern Oregon | Clinic/Center | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-29 |
| 1336660331 | Options for Southern Oregon | Clinic/Center | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2017-06-29 |
| 1306367305 | Options for Southern Oregon | Clinic/Center | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-06-29 |
| 1104346782 | Options for Southern Oregon | Case Management | 319 Caves Hwy, Cave Junction, OR 97523-9604 | 2017-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OPTIONS FOR SOUTHERN OREGON INC | 1215 Sw G St, Grants Pass, OR 97526-2544 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON, INC. | 1215 Sw G St, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | OPTIONS FOR SOUTHERN OREGON- JACKSON COUNTY | 1215 Sw G St, Grants Pass, OR 97526 |
| Street Address |
1644 CARNAHAN DR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710032081 | Debra Pruyn | Social Worker | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2007-01-24 |
| 1083249585 | Julia Diane Turpen | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2020-03-05 |
| 1639714546 | Dena Lynn Demello | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-11-14 |
| 1689229239 | Debra Lee D. Torossian | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-08-09 |
| 1861954018 | Heather Quinn | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-04-04 |
| 1407318124 | Paul Matthews | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-04-02 |
| 1063994911 | Meghan Lane | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2018-09-06 |
| 1770990772 | Anthony Enrique Annicchiarico | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1033597042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 310 Bushnell Way, Grants Pass, OR 97527-9103 | 2015-05-11 |
| 1093085573 | Alma Delia Robles | Community Based Residential Treatment Facility, Mental Illness | 711 Ramsey Ave, Grants Pass, OR 97527 | 2011-12-30 |
| 1023253770 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2008-12-10 |
| 1346485042 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 900 Hitching Post Rd, Grants Pass, OR 97526-9710 | 2008-12-09 |
| 1487782900 | Kairos Northwest | Community Based Residential Treatment Facility, Mental Illness | 715 Ramsey Ave, Grants Pass, OR 97527-5500 | 2007-02-28 |
| 1366865495 | Kairos Northwest | Community Based Residential Treatment Facility, Mental Illness | 210 Tacoma St, Grants Pass, OR 97526-9370 | 2014-01-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.