SHANGRI-LA CORPORATION (NPI# 1366796823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366796823 |
| Entity Type | Organization |
| Organization Name | SHANGRI-LA CORPORATION |
| Other Organization Name | ADAMS LANE |
| Practice Address |
2614 Adams Ln Se Jefferson OR 97352-9713 |
| Mailing Address |
4080 Reed Rd Se Ste 150 Salem OR 97302-1335 |
| Practice Telephone | 5413277982 |
| Practice Fax Number | 5413277986 |
| Mailing Telephone | 5035811732 |
| Mailing Fax Number | 5033162299 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | ROBIN LENAY WINKLE (DIRECTOR) |
| Authorized Official Telephone | 5035811732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DMAP PROVIDER # | 515045 | 01 |
| Other Name | Type Code |
|---|---|
| Adams Lane | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922352368 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4472 Del Rio Pl Se, Albany, OR 97322-6233 | 2012-11-07 |
| 1326392770 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 618 Sw 10th Street, Newport, OR 97365-4734 | 2012-11-07 |
| 1487908935 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 1206 Old Oak Dr Se, Albany, OR 97322-6655 | 2012-11-06 |
| 1568617694 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se, Suite 150, Salem, OR 97302-1100 | 2008-11-17 |
| 1053858993 | Shangri-la Corporation | Community/Behavioral Health | 398 High St, Eugene, OR 97401-2310 | 2017-01-31 |
| 1578000758 | Shangri-la Corporation | Community/Behavioral Health | 4080 Reed Rd Se Ste 150, Salem, OR 97302-1335 | 2017-01-25 |
| 1922352376 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se Ste 150, Salem, OR 97302-1335 | 2012-11-07 |
| Street Address |
2614 ADAMS LN SE |
| City | JEFFERSON |
| State | OR |
| Zip Code | 97352-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033480314 | Ann Schlomer Lehoullier | Veterinarian | 2377 Wintercreek Rd Se, Jefferson, OR 97352 | 2012-01-19 |
| 1285967133 | Stayton Family Practice Inc | Family Medicine | 294 2nd St N, Jefferson, OR 97352 | 2009-09-10 |
| 1326003773 | Recovery Road Inc | Substance Abuse Rehabilitation Facility | 1587 Pacific Ridge Lane Se, Jefferson, OR 97352 | 2006-04-19 |
| 1588667851 | Jefferson Rural Fire Protection Dist | Ambulance | 189 N Main St, Jefferson, OR 97352 | 2005-05-31 |
| 1669689923 | Patrick Lynn Hart | Chiropractor | 277 North Second Street, Jefferson, OR 97352-0621 | 2007-05-17 |
| 1386935211 | Kathleen Marr Chitwood | Dental Hygienist | 12552 Centerwood Rd Se, Jefferson, OR 97352-9283 | 2011-04-26 |
| 1548624646 | Madelyn Marie Hammons | Dental Hygienist | 10822 Enchanted Way Se, Jefferson, OR 97352-9603 | 2016-04-05 |
| 1538622352 | Christopher E. Buck | Counselor | 115 S 2nd St, Jefferson, OR 97352-9701 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922904 | Hayley Allen | Pharmacist | 2667 Maple Rd, Jefferson, OH 44047-9751 | 2020-11-06 |
| 1619574753 | Jean Carolyn Sheffield | Home Health Aide | 2770 Sylvia Ave, Jefferson, OH 44047-9774 | 2020-10-01 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1982214763 | Kempo Corporation | Clinical Medical Laboratory | 6096 Highway 151, Jefferson, SC 29718-5813 | 2020-08-05 |
| 1245858323 | Jamie Anne Taylor | Massage Therapist | 3511 River Rd Ste B, Jefferson, LA 70121-4162 | 2020-07-06 |
| 1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| Find all providers in JEFFERSON | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.