CALLAHAN ALF, LLC (NPI# 1306462072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306462072 |
| Entity Type | Organization |
| Organization Name | CALLAHAN ALF, LLC |
| Practice Address |
1801 Nw Garden Valley Blvd Roseburg OR 97471-1627 |
| Mailing Address |
7420 Sw Bridgeport Rd Ste 105 Portland OR 97224-7790 |
| Practice Telephone | 5416734500 |
| Practice Fax Number | 5416721346 |
| Mailing Telephone | 5035974906 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | GREGORY RODERICK (MEMBER) |
| Authorized Official Telephone | 5034431818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 521350 | 05 |
| Other Name | Type Code |
|---|---|
| Callahan Village Assisted Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CALLAHAN ALF, LLC | 7420 Sw Bridgeport Rd Ste 105, Portland, OR 97224 |
| Street Address |
1801 NW GARDEN VALLEY BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730307331 | Callahan Village II, LLC | Assisted Living Facility | 1801 Nw Garden Valley Blvd, Roseburg, OR 97470-1627 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124332655 | Emeritus Corporation | Assisted Living Facility | 3400 Nw Edenbower Blvd, Roseburg, OR 97470-1228 | 2010-07-26 |
| 1023279155 | Roseburg Douglas Associates | Assisted Living Facility | 1901 Nw Hughwood Ave, Roseburg, OR 97470-5598 | 2008-06-20 |
| 1730307331 | Callahan Village II, LLC | Assisted Living Facility | 1801 Nw Garden Valley Blvd, Roseburg, OR 97470-1627 | 2007-04-22 |
| 1760509558 | 3723 Fairview Industrial | Assisted Living Facility | 1770 Nw Valley View Dr, Roseburg, OR 97470-1778 | 2007-03-25 |
| 1073139721 | Callahan Mc, LLC | Assisted Living Facility | 1770 Nw Valley View Dr, Roseburg, OR 97471-1778 | 2020-06-18 |
| 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 |
| 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 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.