SHANGRI-LA CORPORATION (NPI# 1922352368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922352368 |
| Entity Type | Organization |
| Organization Name | SHANGRI-LA CORPORATION |
| Other Organization Name | CASA RIO |
| Practice Address |
4472 Del Rio Pl Se Albany OR 97322-6233 |
| Mailing Address |
4080 Reed Rd Se Ste 150 Salem OR 97302-1335 |
| Practice Telephone | 5419245702 |
| Practice Fax Number | 5419245703 |
| Mailing Telephone | 5035811732 |
| Mailing Fax Number | 5033162299 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | ROBIN LENAY WINKLE (DIRECTOR) |
| Authorized Official Telephone | 5035811732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DMAP PROVIDER # | 519075 | 01 |
| Other Name | Type Code |
|---|---|
| Casa Rio | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326392770 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 618 Sw 10th Street, Newport, OR 97365-4734 | 2012-11-07 |
| 1366796823 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 2614 Adams Ln Se, Jefferson, OR 97352-9713 | 2012-11-06 |
| 1487908935 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 1206 Old Oak Dr Se, Albany, OR 97322-6655 | 2012-11-06 |
| 1568617694 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se, Suite 150, Salem, OR 97302-1100 | 2008-11-17 |
| 1053858993 | Shangri-la Corporation | Community/Behavioral Health | 398 High St, Eugene, OR 97401-2310 | 2017-01-31 |
| 1578000758 | Shangri-la Corporation | Community/Behavioral Health | 4080 Reed Rd Se Ste 150, Salem, OR 97302-1335 | 2017-01-25 |
| 1922352376 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 4080 Reed Rd Se Ste 150, Salem, OR 97302-1335 | 2012-11-07 |
| Street Address |
4472 DEL RIO PL SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908935 | Shangri-la Corporation | Community Based Residential Treatment Facility, Mental Illness | 1206 Old Oak Dr Se, Albany, OR 97322-6655 | 2012-11-06 |
| 1447404603 | Springer House | Community Based Residential Treatment Facility, Mental Illness | 1106 Broadway St Sw, Albany, OR 97321-2072 | 2008-11-13 |
| 1538282744 | J&j Retirement Home | Community Based Residential Treatment Facility, Mental Illness | 1214 Whispering Pines Rd, Albany, GA 31707-3623 | 2007-04-10 |
| 1275688350 | Catherine Freer Wilderness Therapy Expeditions | Community Based Residential Treatment Facility, Mental Illness | 420 3rd Ave Sw, Albany, OR 97321-2261 | 2007-01-25 |
| 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 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 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 |
| 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.