ELDERBERRY SQUARE COMMUNITY, LLC


Address: 3321 Oak St, Florence, OR 97439-9515
Phone: 5414752273

ELDERBERRY SQUARE COMMUNITY, LLC (NPI# 1255958120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255958120
Entity Type Organization
Organization Name ELDERBERRY SQUARE COMMUNITY, LLC
Practice Address 3321 Oak St
Florence
OR 97439-9515
Practice Telephone 5414752273
Mailing Telephone 5414752273
Enumeration Date 2020-06-26
Last Update Date 2020-06-26
Authorized Official Name CARL ALLEN MASON (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 5038265190
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 522229 05
OR 522211 05

Other Provider/Organization Names

Other Name Type Code
New Friends Memory and Residential Care of Florence Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names ELDERBERRY SQUARE COMMUNITY, LLC 25260 Sw Parkway Ave Suite B, Wilsonville, OR 97070

Office Location

Street Address 3321 OAK ST
City FLORENCE
State OR
Zip Code 97439-9515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417586488 Kelcie-may S Toledo Pharmacist 700 Us-101, Florence, OR 97439 2020-04-02
1144875444 Steven Mee Dentist 1225 Us - 101, Florence, OR 97439 2019-08-05
1164944351 Karie James Massage Therapist 2010 11th St, Florence, OR 97439 2017-07-10
1205266046 Deborah Lynne Grigsby Counselor 1490 1st Street, Unit #1, Florence, OR 97439 2013-11-14
1811247398 Luke Henry Occupational Therapist 1951 East 21st Street, Florence, OR 97439 2012-09-12
1144589102 Ryan Charles Korando Denturist 1705 22nd Street, Florence, OR 97439 2012-05-11
1568728640 Deborah Lynn Pasternak Massage Therapist 1495 8th Street, Suite C, Florence, OR 97439 2012-04-03
1275844185 Serena Appel Counselor 1525 12th St Ste 8, Florence, OR 97439 2010-06-24
1669702056 Monarch Medical Group LLC Clinic/Center 2775 Hwy 101, Suite B, Florence, OR 97439 2010-01-06
1871722231 Aen Brauer Social Worker 1445 W 8th St, Florence, OR 97439 2009-07-07
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386244002 Gnpr, LLC Assisted Living Facility 1230 W 3rd St, Florence, CO 81226-9406 2020-10-30
1851790844 211-213 Ana Drive Operations LLC Assisted Living Facility 211 Ana Dr, Florence, AL 35630-1768 2014-08-15
1609203165 Ec Florence Operations, LLC Assisted Living Facility 3006 Hoffmeyer Rd, Florence, SC 29501-7551 2013-09-30
1497958052 Vnr Incorporated Assisted Living Facility 1004 6th St, Florence, SD 57235-2135 2007-06-08
1003972407 Brookdale Senior Living Communities, Inc. Assisted Living Facility 901 Broad St, Florence, NJ 08518-2813 2006-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861092520 W2 Powell Valley, LLC Assisted Living Facility 4001 Se 182nd Ave, Gresham, OR 97030-5063 2020-10-30
1790384576 Pacifica Calaroga Terrace LLC Assisted Living Facility 1400 Ne 2nd Ave, Portland, OR 97232-1148 2020-10-22
1023629805 Barbara Mcvay Assisted Living Facility 50792 Huntington Rd, La Pine, OR 97739-9041 2020-08-13
1255959821 Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC Assisted Living Facility 2800 14th Ave Se, Albany, OR 97322-7079 2020-07-10
1639797103 Northwest Hc Oak Park Or Operator Nt-hci LLC Assisted Living Facility 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 2020-07-10
1912525486 Northwest Hc Cascadia Village Or Operator Nt-hci LLC Assisted Living Facility 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 2020-07-10
1881211852 Chancellor Health Care of California Ix, Inc. Assisted Living Facility 14550 Se Vista Ln, Milwaukie, OR 97267-1731 2020-06-25
1558987768 Greenridge Estates Operating LLC Assisted Living Facility 4 Greenridge Dr, Lake Oswego, OR 97035-1400 2020-06-23
1952927121 Oregon Alf, LLC Assisted Living Facility 15900 Se 82nd Dr, Clackamas, OR 97015-9502 2020-06-23
1881210136 Lynn Ann Development, LLC Assisted Living Facility 1700 Kellenbeck Ave, Grants Pass, OR 97527-4251 2020-06-23
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Competitor

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City FLORENCE
Zip Code 97439

Improve Information

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Dataset Information

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.

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