CONCEPTS IN COMMUNITY LIVING, INC.


Address: 1337 Sw Washington St, Portland, OR 97205-2328
Phone: 5032232144

CONCEPTS IN COMMUNITY LIVING, INC. (NPI# 1619592193) 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) 1619592193
Entity Type Organization
Organization Name CONCEPTS IN COMMUNITY LIVING, INC.
Practice Address 1337 Sw Washington St
Portland
OR 97205-2328
Mailing Address 15900 Se 82nd Dr
Clackamas
OR 97015-9502
Practice Telephone 5032232144
Mailing Telephone 5032554647
Enumeration Date 2020-06-10
Last Update Date 2020-06-10
Authorized Official Name PETER VERDIECK (EVP FINANCE & ADMINISTRATION)
Authorized Official Telephone 5033275700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0630X Assisted Living Facility
Specialization: Assisted Living, Behavioral Disturbances
Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
The Taft Home Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names CONCEPTS IN COMMUNITY LIVING, INC. 15900 Se 82nd Dr, Clackamas, OR 97015

Office Location

Street Address 1337 SW WASHINGTON ST
City PORTLAND
State OR
Zip Code 97205-2328

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
Find all providers in zip 97205

Taxonomy Information

Taxonomy Code 3104A0630X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Behavioral Disturbances

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841836673 Gethsemane Care Services Assisted Living Facility 10 White Birch Ln Apt 2, Portland, ME 04103-3655 2019-11-27
1447636071 Community Services, Inc. Assisted Living Facility 14215 Nw Science Park Dr, Portland, OR 97229-5416 2015-08-05
1346589728 Nursefinders Assisted Living Facility 5510 Nw 146th Ave, Portland, OR 97229-9263 2013-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295921 Devona Lynn Shepard Assisted Living Facility 1030 Sw 8th Ave, Ontario, OR 97914-3316 2020-11-05
1598313199 Bernadette Frances Smith Assisted Living Facility 92158 Cape Arago Hwy, Coos Bay, OR 97420-8743 2019-08-28
1376081810 Amazing Grace Care Homes, Incesident Assisted Living Facility 1205 Barnes Ave Se, Salem, OR 97306-1539 2017-02-04
1477090504 Michelle Hasson Assisted Living Facility 4548 Sw 191st Ave, Aloha, OR 97078-2425 2017-01-26
1508215252 Meadowland Adult Foster Home LLC Assisted Living Facility 706 Meadow Ave, Tillamook, OR 97141-2844 2016-06-03
1437317229 Ocean Park Assisted Living Facility 984 Parkview Dr, Brookings, OR 97415-9116 2008-05-28

Competitor

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City PORTLAND
Zip Code 97205

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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