WAVERLY ASSISTED LIVING, LLC (NPI# 1730659228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730659228 |
| Entity Type | Organization |
| Organization Name | WAVERLY ASSISTED LIVING, LLC |
| Other Organization Name | WELLNESS AT HOME IN ALBANY |
| Practice Address |
2853 Salem Ave Se Ste A Albany OR 97321 |
| Practice Telephone | 5416506200 |
| Practice Fax Number | 5419812211 |
| Mailing Telephone | 5416506200 |
| Mailing Fax Number | 5419812211 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-01-31 |
| Authorized Official Name | MELISSA DAVIS (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5416506200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AGENCY LICENSE | 38-7165 | 01 |
| OR | 500757550 | 05 |
| Other Name | Type Code |
|---|---|
| Wellness at Home in Albany | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356881866 | Waverly Assisted Living, LLC | Home Health | 2853 Salem Ave Se, Albany, OR 97321-4562 | 2017-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WAVERLY ASSISTED LIVING, LLC | 1914 Willamette Falls Dr Ste 230, West Linn, OR 97068 |
| Street Address |
2853 SALEM AVE SE STE A |
| City | ALBANY |
| State | OR |
| Zip Code | 97321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| 1639441256 | Jonathan J Yoder | Pharmacist | 1177 Waverly Drive, Albany, OR 97321 | 2012-01-27 |
| Find all providers in zip 97321 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436959 | Touching Hearts At Home, Inc. | In Home Supportive Care | 122 Ferry St Sw, Albany, OR 97321-2214 | 2020-01-17 |
| 1306386750 | Complete Care Services | In Home Supportive Care | 728 Pine Ave, Suite E, Albany, GA 31701-0411 | 2017-03-06 |
| 1710435722 | Compassion, Comfort & Care | In Home Supportive Care | 1304 Lily Pond Rd, Albany, GA 31701-7748 | 2016-09-19 |
| 1700215696 | Infinity Health Systems,inc | In Home Supportive Care | 141 West Broad Ave Suite D, 141 West Broad Avenue Suite D, Albany, GA 31702 | 2013-11-01 |
| 1902146178 | Nahkiya Care | In Home Supportive Care | 36 Beverly Ave, Albany, NY 12206-3209 | 2013-02-25 |
| 1356697684 | Davis Health Care Services | In Home Supportive Care | 1106 Whispering Pines Rd, B, Albany, GA 31707-3542 | 2012-07-24 |
| 1801187372 | Mejia & Associates, LLC | In Home Supportive Care | 323 Pine Ave Ste 203, Albany, GA 31701-2587 | 2011-05-02 |
| 1801105267 | Benzas Place Home Care Corp | In Home Supportive Care | 66 Clinton St, Albany, NY 12202-1531 | 2010-10-04 |
| 1033446620 | Albany Professional Health Care, LLC | In Home Supportive Care | 1216 Dawson Rd, Ste 221, Albany, GA 31707-3867 | 2009-11-03 |
| 1356593792 | Gabriel's Health Services Inc. | In Home Supportive Care | 401 Forest Glen Dr, Albany, GA 31707 | 2008-10-16 |
| Find all providers in ALBANY | ||||
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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.