MIDWEST CARE ANGELWOOD, LLC (NPI# 1902138712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902138712 |
| Entity Type | Organization |
| Organization Name | MIDWEST CARE ANGELWOOD, LLC |
| Practice Address |
78 Centennial Loop Eugene OR 97401-7900 |
| Mailing Address |
3200 Hayes Ave Clinton OK 73601-3514 |
| Practice Telephone | 5417430936 |
| Practice Fax Number | 5417465781 |
| Mailing Telephone | 5417430936 |
| Mailing Fax Number | 5417465781 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MS. LACIE MORGAN (LEGAL ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 5417430924 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
78 CENTENNIAL LOOP |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871029165 | Kiyomi Manabe | Counselor | 78 Centennial Loop, Ste A, Eugene, OR 97401-7909 | 2017-05-04 |
| 1881142610 | Stephanie Cameron | Counselor | 78 Centennial Loop, Eugene, OR 97401-7909 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902067036 | Eugene Lane Associates | Assisted Living Facility | 4550 W Amazon Dr, Eugene, OR 97405-5232 | 2008-06-20 |
| 1114106432 | Regency of Fox Hollow, Inc | Assisted Living Facility | 5320 Fox Hollow Rd, Eugene, OR 97405-4049 | 2007-11-02 |
| 1518154897 | Assisted Living Concepts Inc | Assisted Living Facility | 1155 Darlene Lane, Eugene, OR 97401 | 2007-10-01 |
| 1679792428 | Barger Road Cottages, LLC | Assisted Living Facility | 3850 Everest Loop, Eugene, OR 97402 | 2007-04-24 |
| 1982724902 | Alpine Spings IIi, LLC | Assisted Living Facility | 3760 N Clarey St, Eugene, OR 97402-8744 | 2007-03-31 |
| 1669599460 | Harder Development IIi, LLC | Assisted Living Facility | 2615 Lone Oak Way, Eugene, OR 97404-2554 | 2007-03-25 |
| 1942257043 | Senior Pharmacy, LLC | Assisted Living Facility | 28717 Grumman Dr, Eugene, OR 97402-9542 | 2006-05-27 |
| 1407472194 | Lone Oak Al, LLC | Assisted Living Facility | 2615 Lone Oak Way, Eugene, OR 97404-2554 | 2020-06-18 |
| 1568005213 | Csl - Eugene II, LLC | Assisted Living Facility | 3760 N Clarey St, Eugene, OR 97402-8744 | 2019-10-25 |
| 1679116313 | Csl - Eugene I, LLC | Assisted Living Facility | 3720 N Clarey St, Eugene, OR 97402-8744 | 2019-10-25 |
| Find all providers in EUGENE | ||||
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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.