STRIDE RESIDENTIAL SERVICES (NPI# 1932554243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932554243 |
| Entity Type | Organization |
| Organization Name | STRIDE RESIDENTIAL SERVICES |
| Practice Address |
2747 Newton St Philomath OR 97370-9214 |
| Practice Telephone | 5416543709 |
| Mailing Telephone | 5416543709 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-05-13 |
| Authorized Official Name | COLETTE LEE MARCHANT (OWNER) |
| Authorized Official Telephone | 5416543709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 519136 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 519136 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | STRIDE RESIDENTIAL SERVICES LLC | 2375 Pickford St, Corvallis, OR 97333 |
| Street Address |
2747 NEWTON ST |
| City | PHILOMATH |
| State | OR |
| Zip Code | 97370-9214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850889 | Philomath Counseling, LLC | Social Worker | 1229 Main St. #105, Philomath, OR 97370 | 2017-09-14 |
| 1548634934 | Pamela Versage | Physical Therapist | 111 North 20th, Philomath, OR 97370 | 2015-11-23 |
| 1588966402 | Aimee Lynn Lesieutre | Acupuncturist | 113 S. 10th St., Philomath, OR 97370 | 2010-11-29 |
| 1720397201 | Ronnie Louise Hansen | Social Worker | 1229 Main Street, Philomath, OR 97370 | 2010-09-30 |
| 1669799029 | Rebecca Bricker | Registered Nurse | 506 S. 19th Street, Philomath, OR 97370 | 2010-04-26 |
| 1457686073 | Raina Wickham | Counselor | 1229 Main Street, Suite 105, Philomath, OR 97370 | 2009-10-15 |
| 1386846038 | Rebecca D Anderson | Counselor | 1215 Main Street, Philomath, OR 97370 | 2007-06-04 |
| 1447376314 | Pediatric Therapy Professionals Inc | Clinic/Center | 111 Ne 20th St, Philomath, OR 97370 | 2007-03-22 |
| 1437201357 | Phoenix Ries | Counselor | 1322 Main St., Philomath, OR 97370 | 2007-01-18 |
| 1073699930 | Gretchen Landis | Acupuncturist | 1332 Main St., Philomath, OR 97370 | 2006-10-31 |
| Find all providers in zip 97370 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982103404 | Robert Scott Ryves | Foster Care Agency | 1106 Maple St, Florence, OR 97439-9410 | 2018-02-10 |
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1992228498 | Youth Unlimited Inc. | Foster Care Agency | 11012 Se Stark St Unit M, Portland, OR 97216-3388 | 2017-07-17 |
| 1104356401 | Pamela Hayden | Foster Care Agency | 6720 Amber Ave, Klamath Falls, OR 97603-4189 | 2017-06-19 |
| 1649725169 | Radiant Care Afh LLC | Foster Care Agency | 445 N Main Ave, Warrenton, OR 97146-9677 | 2016-08-25 |
| 1962800300 | Fresh Start Family Services of Oregon, Inc. | Foster Care Agency | 8825 Se 42nd Ave, Milwaukie, OR 97222-5568 | 2014-12-17 |
| 1417358417 | Danielmoray Corporation | Foster Care Agency | 1000 Ne 122nd Ave Ste 25, Portland, OR 97230-2007 | 2014-09-09 |
| 1669888244 | Kenneth Cole | Foster Care Agency | 938 W Hilliard Ln, Eugene, OR 97404-3014 | 2014-07-03 |
| 1528295227 | New Decision Treatment Foster Care, Inc. | Foster Care Agency | 11737 Se Alder St, Portland, OR 97216-3867 | 2009-06-19 |
| 1093955767 | Children, Adults and Families - Child Welfare | Foster Care Agency | 500 Summer St Ne # E-69, Salem, OR 97301-1063 | 2009-02-20 |
| 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.