TELECARE MENTAL HEALTH SERVICES OF OREGON, INC


Address: 4104 Ne Division St, Gresham, OR 97030-4618
Phone: 5036666575

TELECARE MENTAL HEALTH SERVICES OF OREGON, INC (NPI# 1740378371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740378371
Entity Type Organization
Organization Name TELECARE MENTAL HEALTH SERVICES OF OREGON, INC
Other Organization Name TELECARE RECOVERY CENTER AT GRESHAM
Practice Address 4104 Ne Division St
Gresham
OR 97030-4618
Mailing Address 1080 Marina Village Pkwy
Suite 100
Alameda
CA 94501-1078
Practice Telephone 5036666575
Practice Fax Number 5036664047
Mailing Telephone 5103377950
Mailing Fax Number 5103377969
Enumeration Date 2006-10-10
Last Update Date 2017-01-27
Authorized Official Name LESLIE DAVIS (SVP, CFO)
Authorized Official Telephone 5103377950
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Telecare Recovery Center at Gresham Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659453686 Telecare Mental Health Services of Oregon, Inc Community Based Residential Treatment Facility, Mental Illness 7759 Se 72nd Ave, Portland, OR 97206-7921 2006-10-19
1073601647 Telecare Mental Health Services of Oregon, Inc Psychiatric Residential Treatment Facility 1605 E Lincoln Rd, Woodburn, OR 97071-5137 2006-10-10
1245624253 Telecare Mental Health Services of Oregon, Inc Community Based Residential Treatment Facility, Mental Illness 805 Se 151st Ave, Portland, OR 97233-2916 2015-03-27
1487853040 Telecare Mental Health Services of Oregon, Inc Community Based Residential Treatment Facility, Mental Illness 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 2007-07-13

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names TELECARE MENTAL HEALTH SERVICES OF OREGON, INC. 1080 Marina Village Parkway Ste 100, Alameda, CA 94501

Office Location

Street Address 4104 NE DIVISION ST
City GRESHAM
State OR
Zip Code 97030-4618

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538793856 Tamekio Russell Community Based Residential Treatment Facility, Mental Illness 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 2020-02-25
1760046528 The Sachiko Group, Inc Community Based Residential Treatment Facility, Mental Illness 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 2019-04-26
1023243508 Sistere Inc. Community Based Residential Treatment Facility, Mental Illness 1610 W Powell Blvd, Gresham, OR 97030-6843 2009-05-27
1235506171 Joyce Bailey Community Based Residential Treatment Facility, Mental Illness 4101 Ne Division St, Gresham, OR 97030-4617 2015-08-26
1710271861 Lukedorf Community Based Residential Treatment Facility, Mental Illness 360 Sw 6th St, Gresham, OR 97080-9475 2011-06-07
1043503006 Luke-dorf, Inc. Community Based Residential Treatment Facility, Mental Illness 360 Sw 6th St, Gresham, OR 97080-9475 2011-05-25

Providers in the same taxonomy and state

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
1770101545 Northwest Premier LLC Community Based Residential Treatment Facility, Mental Illness 560 W Rose St, Lebanon, OR 97355-2624 2020-07-08
1487290342 Andrew J Thomas Community Based Residential Treatment Facility, Mental Illness 2568 Sw 1st Ave, Ontario, OR 97914-1877 2019-11-25
1831660984 Olthyme LLC Community Based Residential Treatment Facility, Mental Illness 30803 Jeppeson Ln, Hermiston, OR 97838-6222 2018-12-16
1679073712 Columbacare Services Community Based Residential Treatment Facility, Mental Illness 622 57th St, Springfield, OR 97478-6821 2018-02-15
1356858369 Scott Richardson Community Based Residential Treatment Facility, Mental Illness 3934 Rio Vista Way, Klamath Falls, OR 97603 2017-12-29
1558877407 Best Care Treatment Services Community Based Residential Treatment Facility, Mental Illness 1470 Nw 4th St, Redmond, OR 97756-1366 2017-12-14
1831640192 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 8336 Highway 62, White City, OR 97530 2016-10-20
1740733906 Trillium Family Services Community Based Residential Treatment Facility, Mental Illness 4545 Ne Highway 20, Corvallis, OR 97330-9655 2016-07-25
1871946640 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 29841 Hillcrest St, Gold Beach, OR 97444-8714 2016-07-18
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

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.

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