ADAPT (NPI# 1649453440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649453440 |
| Entity Type | Organization |
| Organization Name | ADAPT |
| Other Organization Name | THE CROSSROADS |
| Practice Address |
3099 Ne Diamond Lake Blvd Roseburg OR 97470-3655 |
| Mailing Address |
Po Box 1121 Roseburg OR 97470-0254 |
| Practice Telephone | 5416733469 |
| Practice Fax Number | 5416728072 |
| Mailing Telephone | 5416722691 |
| Mailing Fax Number | 5416735642 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Authorized Official Name | BRUCE PIPER (CEO) |
| Authorized Official Telephone | 5416722691 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADAPT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 218156 | 05 |
| Other Name | Type Code |
|---|---|
| The Crossroads | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508295668 | Adapt | Counselor | 1215 Se Court Ave, Roseburg, OR 97470-4329 | 2013-11-08 |
| 1174952238 | Adapt | Counselor | 550 Se Jackson St, Roseburg, OR 97470-4923 | 2013-11-08 |
| 1639508708 | Adapt | Counselor | 1036 Se Douglas Ave, Roseburg, OR 97470-3301 | 2013-11-08 |
| 1235568155 | Adapt | Counselor | 1950 Winchester Ave, Reedsport, OR 97467-1151 | 2013-11-01 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1144401043 | Adapt | Counselor | 418 Nw 6th St, Suite 102, Grants Pass, OR 97526-2006 | 2007-11-19 |
| 1912061755 | Adapt | Family Medicine | 671 Sw Main, Winston, OR 97496-0012 | 2006-12-19 |
| 1750373346 | Adapt | Counselor | 548 Se Jackson St, Roseburg, OR 97470-4983 | 2005-08-18 |
| 1861967648 | Adapt | Clinic/Center | 671 Sw Main St, Winston, OR 97496-6571 | 2018-10-09 |
| 1497248025 | Adapt | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459-3477 | 2018-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADAPT | 621 W Madrone St, Roseburg, OR 97470 |
| System for Award Management (SAM) Entities | ADAPT | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Colorado Business Entities | Adapt | 14260 E 104th Ave, 4-301, Commerce City, CO 80022 |
| Oregon Corporations, Companies and Business Names | ADAPT & TRIUMPH | 2757 Nw 7th St Ste A, Redmond, OR 97756 |
| Virginia Business Entities | AdaPt 2 HeaLing LLC | 1806 Summit Ave Ste 300, Richmond, Virginia 23230-4339 |
| System for Award Management (SAM) Entities | ADAPT 2 IT, INC. | 24100 El Toro Rd Ste E, Laguna Woods, CA 92637-3129 |
| System for Award Management (SAM) Entities | ADAPT A RAMP | 170 Fuller Rd Unit 6, Ajax, ON L1S 7G8, CAN |
| New York State Corporations | ADAPT ABILITY INC. | 610 5th Ave., 1st Floor, Brooklyn, Ny 11215 |
| New York State Corporations | ADAPT ACCESSIBILITY LLC | 2160 Penfield Road, Suite 11, Penfield, New York 14526 |
| System for Award Management (SAM) Entities | ADAPT AD SPECIALTY | 13618 Lemay St, Van Nuys, CA 91401-1114 |
| Street Address |
3099 NE DIAMOND LAKE BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092645 | Joseph T Mitchell | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-10-29 |
| 1164021283 | Michael E Gregg | Licensed Practical Nurse | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-10-20 |
| 1528675774 | Patricia Bosch | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-09-30 |
| 1669099222 | Cherrie A Averett | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-06-30 |
| 1669096616 | Ron Lawson | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-06-05 |
| 1831712405 | Lesa Wolfe | Counselor | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2020-05-18 |
| 1699285296 | Clivonne Corbett | Registered Nurse | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2017-10-09 |
| 1427501501 | Josie Dion Congdon | Social Worker | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 | 2016-07-26 |
| 1841554599 | Ryan W. Daven | Counselor | 3099 Ne Diamond Lake Blvd, Adapt Crossroads, Roseburg, OR 97470 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1225228380 | Glenn Zathan Zathan | Substance Abuse Rehabilitation Facility | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2007-07-25 |
| 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.