JASPER MOUNTAIN


Address: 37875 Jasper Lowell Rd, Jasper, OR 97438-9751
Phone: 5417471235

JASPER MOUNTAIN (NPI# 1497821680) 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) 1497821680
Entity Type Organization
Organization Name JASPER MOUNTAIN
Practice Address 37875 Jasper Lowell Rd
Jasper
OR 97438-9751
Practice Telephone 5417471235
Practice Fax Number 5417474722
Mailing Telephone 5417471235
Mailing Fax Number 5417474722
Enumeration Date 2006-11-28
Last Update Date 2009-09-07
Authorized Official Name MR. DONALD LANDAUER (CFO)
Authorized Official Telephone 5417471235
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children OR Residential Treatment Facilities
N 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
OR Respite Care Facility
Y 320800000X Community Based Residential Treatment Facility, Mental Illness OR Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 313495 05
OR 178087 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names JASPER MOUNTAIN 37875 Jasper Lowell Rd, Jasper, OR 97438
Washington State Corporations JASPER MOUNTAIN ENTERPRISES, LLC 100 Ward Rd, Dayton, WA 99328-9694
Washington State Corporations JASPER MOUNTAIN VENTURES, LLC 610 N Front St, Dayton, WA 99328-1033

Office Location

Street Address 37875 JASPER LOWELL RD
City JASPER
State OR
Zip Code 97438-9751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013518117 Taylor Lyn Sorensen Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-11-04
1871107425 Cody L Lee Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-09-01
1639782535 Madison H Correia Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-08-28
1558974832 Laurel Louise King Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-08-26
1477165348 Larkin Marie Lowry Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-08-20
1093325789 Brittany Szalkiewicz Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-08-06
1578171930 Jaida Lilian Hardinger Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-07-21
1700408135 Sara Katelyn Walz Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-05-07
1245861590 Rachael Ridel Bennett Counselor 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2020-01-27
1487293148 Kayleigh Diane Truitt Social Worker 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 2019-12-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225151707 Hyla M Dobaj Counselor 37875 Jasper Lowell Rd., Jasper, OR 97438 2007-04-09
1134370406 Benjamin Daniel Lane George Counselor 37446 Jasper Lowell Rd, Jasper, OR 97438-9719 2008-10-06
1528219862 Julie R. Simmonds Counselor 39477 Little Fall Creek Rd, Fall Creek, OR 97438-9726 2008-10-06

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

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
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Competitor

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City JASPER
Zip Code 97438

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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