MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC (NPI# 1275721268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275721268 |
| Entity Type | Organization |
| Organization Name | MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC |
| Other Organization Name | MAPLE RIDGE ASSISTED LIVING COMMUNITY |
| Practice Address |
3220 State St Suite 200 Salem OR 97301-6872 |
| Mailing Address |
1767 Alliance Ave Freeland WA 98249-9448 |
| Practice Telephone | 5035665715 |
| Practice Fax Number | 5035883531 |
| Mailing Telephone | 3603311303 |
| Mailing Fax Number | 3603311363 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MR. KELLEY D HAMILTON (CEO AND PRESIDENT OF MANAGER) |
| Authorized Official Telephone | 5035665715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 1966 | WA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Maple Ridge Assisted Living Community | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MAPLE RIDGE ASSISTED LIVING COMMUNITY LLC | 1767 Alliance Ave, Freeland, WA 98249 |
| Street Address |
3220 STATE ST SUITE 200 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-6872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977050 | Arbor Place Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-04 |
| 1972835064 | Amedisys Oregon, LLC | Home Health | 3220 State St, Suite 100, Salem, OR 97301-6872 | 2010-02-01 |
| 1063600062 | Bonaventure Place Retirement & Assisted Living Community LLC | Exclusive Provider Organization | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-10-04 |
| 1639362742 | Amedisys Oregon, L.L.C. | Home Health | 3220 State St, Suite 100, Salem, OR 97301-6872 | 2007-08-22 |
| 1083827745 | Cedar Ridge Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-08 |
| 1154534493 | Columbia Heights Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1669685939 | Gresham Assisted Living LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1396958658 | Tlc West, L.L.C. | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1588877724 | Oswego Place Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1417160649 | Orchard Heights Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063600062 | Bonaventure Place Retirement & Assisted Living Community LLC | Exclusive Provider Organization | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178180 | Northwest Health Partners Network LLC | Exclusive Provider Organization | 3355 Riverbend Dr Ste 430, Springfield, OR 97477-8800 | 2019-01-23 |
| 1689053589 | Jenna Graven | Exclusive Provider Organization | 2246 Aloha Ave, Medford, OR 97504-6938 | 2015-05-25 |
| 1750571345 | Jefferson Behavioral Health | Exclusive Provider Organization | 550 Ne E St, Grants Pass, OR 97526-2326 | 2007-07-30 |
| 1265570287 | Cascadia Behavioral Healthcare | Exclusive Provider Organization | 3324 Se Waverleigh Blvd, Portland, OR 97202-1973 | 2007-02-02 |
| 1861575912 | Jefferson Behavioral Health | Exclusive Provider Organization | 223 Se M St, Hamilton House Annex, Grants Pass, OR 97526-3133 | 2006-10-23 |
| 1346239670 | Interlink Health Services | Exclusive Provider Organization | 4660 Ne Belknap Ct, Suite 209, Hillsboro, OR 97124-6467 | 2005-10-19 |
| 1013385764 | Ocean Natural Health | Exclusive Provider Organization | 12555 Sw 1st St, Beaverton, OR 97005-0546 | 2015-09-11 |
| 1407254576 | Interlink Coe Networks and Programs | Exclusive Provider Organization | 4660 Ne Belknap Ct, Suite 209, Hillsboro, OR 97124-6467 | 2014-12-05 |
| 1578994851 | Eugene Foot and Ankle Center, LLC | Exclusive Provider Organization | 1680 Chambers St, Ste 201, Eugene, OR 97402-3655 | 2013-12-11 |
| 1386983443 | Faiz Healing Designs LLC | Exclusive Provider Organization | 38706 Pioneer Blvd, Sandy, OR 97055-8008 | 2013-02-10 |
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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.