GRESHAM ASSISTED LIVING LLC (NPI# 1669685939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669685939 |
| Entity Type | Organization |
| Organization Name | GRESHAM ASSISTED LIVING LLC |
| Other Organization Name | HUNTINGTON TERRACE ASSISTED LIVING RESIDENCE |
| Practice Address |
3220 State St Suite 200 Salem OR 97301-6872 |
| Mailing Address |
1410 Ne Cleveland Ave Gresham OR 97030-4283 |
| Practice Telephone | 5065665715 |
| Practice Fax Number | 5035883531 |
| Mailing Telephone | 5034651404 |
| Mailing Fax Number | 5036698896 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MR. KELLEY D HAMILTON (CEO-PRES OF MANAGER) |
| Authorized Official Telephone | 5035665715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | OR | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGISTRY # | 704667-85 | 01 |
| Other Name | Type Code |
|---|---|
| Huntington Terrace Assisted Living Residence | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GRESHAM ASSISTED LIVING LLC | 3220 State St Ste 200, Salem, OR 97301 |
| Street Address |
3220 STATE ST SUITE 200 |
| City | SALEM |
| State | OR |
| Zip Code | 97301-6872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977050 | Arbor Place Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-04 |
| 1972835064 | Amedisys Oregon, LLC | Home Health | 3220 State St, Suite 100, Salem, OR 97301-6872 | 2010-02-01 |
| 1275721268 | Maple Ridge Assisted Living Community LLC | Exclusive Provider Organization | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-10-04 |
| 1063600062 | Bonaventure Place Retirement & Assisted Living Community LLC | Exclusive Provider Organization | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-10-04 |
| 1639362742 | Amedisys Oregon, L.L.C. | Home Health | 3220 State St, Suite 100, Salem, OR 97301-6872 | 2007-08-22 |
| 1083827745 | Cedar Ridge Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-08 |
| 1154534493 | Columbia Heights Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1396958658 | Tlc West, L.L.C. | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1588877724 | Oswego Place Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1417160649 | Orchard Heights Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185619 | Advanced Hearing Solutions | Point of Service | 3468 Robert Ave Ne, Salem, OR 97301-7725 | 2020-02-05 |
| 1841853553 | Stars Interpreters LLC | Point of Service | 895 20th St Se, Salem, OR 97301-9698 | 2019-04-18 |
| 1396208690 | Marla P. Meyer, Licsw LLC | Point of Service | 39 Norman St Fl 3, Salem, MA 01970-3380 | 2019-04-12 |
| 1649484759 | Five Rivers Assisted Living and Retirement Commmunity, LLC | Point of Service | 3200 State Street, Suite 200, Salem, OR 97301 | 2007-05-09 |
| 1598977050 | Arbor Place Senior Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-04 |
| 1851618912 | Steven K. Park, M. D., P.a. | Point of Service | 330 Woodstown Rd, Suite 3, Salem, NJ 08079-2034 | 2010-04-29 |
| 1124233622 | Sandy Assisted Living LLC | Point of Service | 3200 State Street, Suite 200, Salem, OR 97301 | 2007-05-10 |
| 1083827745 | Cedar Ridge Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-08 |
| 1154534493 | Columbia Heights Retirement & Assisted Living Community LLC | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| 1396958658 | Tlc West, L.L.C. | Point of Service | 3220 State St, Suite 200, Salem, OR 97301-6872 | 2007-05-07 |
| Find all providers in SALEM | ||||
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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.