CJL ENTERPRISES INC (NPI# 1558892984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558892984 |
| Entity Type | Organization |
| Organization Name | CJL ENTERPRISES INC |
| Practice Address |
705 Highway 20 S Hines OR 97738-2522 |
| Mailing Address |
Po Box 138 Burns OR 97720-0138 |
| Practice Telephone | 5415737303 |
| Practice Fax Number | 5415735938 |
| Mailing Telephone | 5415737303 |
| Mailing Fax Number | 5415735938 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | CRAIG LAFOLLETTE (PRESIDENT) |
| Authorized Official Telephone | 5415737303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OR | Residential Treatment Facilities |
| Street Address |
705 HIGHWAY 20 S |
| City | HINES |
| State | OR |
| Zip Code | 97738-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306908538 | Kirkland Institute for Child & Family Study, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738 | 2006-12-14 |
| 1184053175 | Eastern Oregon Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738-2522 | 2013-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834062 | Nalani Zoe Thompson | Registered Nurse | 635 Hwy 20 N, Suite #4, Hines, OR 97738 | 2020-06-05 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1639547060 | Jennifer Ingram Hoke | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1417325846 | Desiree Amber Lane | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1962870394 | Karen K Hunsucker | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1790074557 | Jessica R Horrell | Pharmacist | 629 North Highway 20, Hines, OR 97738 | 2011-04-01 |
| 1043795305 | Tami Sandell | Counselor | 141 N Milwaukie Ave, Hines, OR 97738-2554 | 2018-10-02 |
| 1922474584 | William Dahl | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2015-08-18 |
| 1689119026 | Ted Cavanaugh | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-12-20 |
| 1376086090 | Kenneth Hanson | Counselor | 120 S Roanoke Ave, Hines, OR 97738-2576 | 2016-11-29 |
| Find all providers in zip 97738 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1548822216 | Oregon Recovery Behavioral Health | Substance Abuse Rehabilitation Facility | 1184 Mcgee Ct Ne Ste 200, Keizer, OR 97303-9443 | 2019-07-02 |
| 1972011682 | Women's Enrichment Counseling | Substance Abuse Rehabilitation Facility | 1300 John Adams St Ste 103, Oregon City, OR 97045-1691 | 2018-01-16 |
| 1356851042 | Debra Monaghan | Substance Abuse Rehabilitation Facility | 1271 Sw 9th St, Warrenton, OR 97146-9418 | 2017-10-06 |
| 1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
| 1043760838 | Pacific Crest Trail Detox LLC | Substance Abuse Rehabilitation Facility | 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405 | 2016-10-05 |
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1851757454 | Circle of Trust Healing Center, LLC | Substance Abuse Rehabilitation Facility | 3300 Butler Creek Rd, Ashland, OR 97520-9173 | 2016-01-12 |
| 1700258258 | La Pine Ktc, LLC | Substance Abuse Rehabilitation Facility | 16161 Burgess Rd, La Pine, OR 97739-9533 | 2015-10-23 |
| 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.