MRS. KATHY BAILEY (NPI# 1710539119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710539119 |
| Entity Type | Individual |
| Full Name | MRS. KATHY BAILEY |
| Practice Address |
4840 Patricia Ct Ne Salem OR 97305-3313 |
| Mailing Address |
Po Box 3491 Salem OR 97302-0491 |
| Practice Telephone | 9713389141 |
| Mailing Telephone | 9713389141 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | OR | Residential Treatment Facilities | |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | OR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285779520 | Kathy S Bailey | Physical Therapy Assistant | 4501 Springdale Rd, Louisville, KY 40241-6121 | 2007-02-21 |
| 1083648612 | Kathy Bailey | Counselor | 721 North Fielder Road, Suite A, Arlington, TX 76012-4661 | 2006-07-10 |
| 1235136961 | Kathy Bailey | Internal Medicine | 6131 Dempster St, Morton Grove, IL 60053-2953 | 2005-07-07 |
| 1174049936 | Kathy Bailey | Case Manager/Care Coordinator | G3169 Beecher Rd, Flint, MI 48532-3611 | 2017-08-14 |
| 1902162696 | Kathy Bailey | Home Health Aide | 1707 L St Nw, Suite 900, Washington, DC 20036-4201 | 2012-04-06 |
| 1508904319 | Kathy Lynn Bailey | Physical Therapist | 1086 Jenkins Branch Ln, Mount Ulla, NC 28125-8699 | 2007-02-02 |
| Street Address |
4840 PATRICIA CT NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255893988 | Ariel Schmidt | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3658 Wiltsey St Se, Salem, OR 97317-9303 | 2019-04-02 |
| 1700904125 | Mary Ann Boxx | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Rr 5 Box 4325, Salem, MO 65560-9033 | 2007-03-26 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188896 | Thomas Wayne Stutzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 168 Ackerman St E, Monmouth, OR 97361-2214 | 2019-11-07 |
| 1588921845 | Haven House Treatment Center Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13565 Sw Singletree Dr, Beaverton, OR 97008-7517 | 2012-04-11 |
| 1407121106 | Sean's Place, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 Hammer St, Harrisburg, OR 97446-9590 | 2012-03-13 |
| 1457561524 | Childerns Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2820 Se Glenn St, Corvallis, OR 97333-2121 | 2007-05-23 |
| 1811064447 | Alternative Services Oreogn, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11830 Kerr Pkwy, Suite 210, Lake Oswego, OR 97035-1249 | 2006-11-29 |
| 1720023807 | Dept. of Human Srvcs/office of Fin. Srvcs Dba: Irs/eopc/eotc/osh/osh-p | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Westgate, Pendleton, OR 97801-9613 | 2006-06-20 |
| 1164979191 | Stoneybrooke Residential Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25500 Se Stark St, Suite 101, Gresham, OR 97030-3331 | 2016-09-07 |
| 1780043802 | Stults House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Se 151st Ave, Portland, OR 97233-2916 | 2016-02-17 |
| 1003296740 | Klamath Child and Family Treatment Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2015-06-08 |
| 1427256718 | Jennifer Yuenching Lui | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2007-07-07 |
| 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.