RAINROCK TREATMENT CENTER, LLC (NPI# 1629119086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629119086 |
| Entity Type | Organization |
| Organization Name | RAINROCK TREATMENT CENTER, LLC |
| Other Organization Name | RAINROCK TREATMENT CENTER |
| Practice Address |
41496 Mckenzie Hwy Springfield OR 97478-8688 |
| Mailing Address |
6100 Sw 76th St South Miami FL 33143-5002 |
| Practice Telephone | 5418969300 |
| Practice Fax Number | 5418969300 |
| Mailing Telephone | 3056631876 |
| Mailing Fax Number | 7863594485 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | MR. MIKE BAGLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3056631876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 835 | OR | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| RainRock Treatment Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5550 S Macadam Ave Ste 100, Portland, OR 972393772 | 5412637551 | |
| 939 Willagillespie Rd, Eugene, OR 974012112 | 5142637519 |
| 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 |
| Street Address |
41496 MCKENZIE HWY |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97478-8688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356699409 | Annie Laughlin | Marriage & Family Therapist | 41496 Mckenzie Hwy, Springfield, OR 97478-8688 | 2012-08-21 |
| 1235419680 | Jennifer Ashley Reed | Marriage & Family Therapist | 41496 Mckenzie Hwy, Springfield, OR 97478-8688 | 2011-08-17 |
| 1407148901 | Christopher Willson | Counselor | 41496 Mckenzie Hwy, Springfield, OR 97478-8688 | 2011-05-03 |
| 1336442557 | Tara Nicole Holstein | Psychologist | 41496 Mckenzie Hwy, Springfield, OR 97478-8688 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1831691310 | Michael Ryan Odle | Psychologist | 36716 Oak Point Rd, Springfield, OR 97478 | 2018-03-01 |
| 1639612880 | Icco LLC | Clinic/Center | 5781 Main Street, Springfield, OR 97478 | 2016-11-21 |
| 1639529258 | Nate John Sutherland | Behavioral Analyst | 37770 Upper Creek Road, Springfield, OR 97478 | 2016-06-14 |
| 1457760134 | Leah Rybolt | Physical Therapist | 145 South 52nd Place, Springfield, OR 97478 | 2014-08-07 |
| 1972918423 | Loree Lynn Howard | Case Manager/Care Coordinator | 4145 Jasper Road, Springfield, OR 97478 | 2014-06-24 |
| 1245589753 | Sarah M Boothe | Doula | 870 S 46th St, Springfield, OR 97478 | 2012-08-30 |
| 1902155401 | Dani Maree Hill | Pharmacist | 5744 Main Street, Springfield, OR 97478 | 2012-08-30 |
| 1295005312 | Express Services Unlimited, Inc. | Non-emergency Medical Transport (VAN) | 37506 Hills Creek Road, Springfield, OR 97478 | 2012-01-05 |
| 1255524468 | Leeann D Fields | Licensed Practical Nurse | 3318 Lakeview Dr, Eugene, OR 97478 | 2007-08-21 |
| Find all providers in zip 97478 | ||||
| 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 |
|---|---|---|---|---|
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1912258443 | Elderhealth & Living | Community Based Residential Treatment Facility, Mental Illness | 382 S 58th St, Springfield, OR 97478-7623 | 2012-09-24 |
| 1457594731 | Gateway Assisted Living, Inc. | Community Based Residential Treatment Facility, Mental Illness | 620 N Cloverleaf Loop, Springfield, OR 97477-1167 | 2009-04-15 |
| 1225155898 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Three Rivers Irtp, 26 Ridgewood Ter, Springfield, MA 01105-1315 | 2007-03-26 |
| 1255455374 | Volunteers of America of Georgia | Community Based Residential Treatment Facility, Mental Illness | 102 Deer Rd, Springfield, GA 31329-9201 | 2007-03-16 |
| 1619066313 | Project Woman | Community Based Residential Treatment Facility, Mental Illness | 1316 E High St, Springfield, OH 45505-1195 | 2006-10-12 |
| 1487040424 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2015-04-07 |
| 1225441256 | South Bay Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 140 High St, Springfield, MA 01199-1006 | 2014-06-06 |
| 1619308822 | Great Circle | Community Based Residential Treatment Facility, Mental Illness | 1212 W Lombard St, Springfield, MO 65806-2720 | 2013-12-13 |
| 1023263043 | Mental Health Centers of Central Illinois | Community Based Residential Treatment Facility, Mental Illness | 200 W Lake Dr, Building C, Springfield, IL 62703-4956 | 2008-11-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97478 |
Please comment or provide details below to improve the information on RAINROCK TREATMENT CENTER, LLC.
| 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.