GRANTS PASS ASSISTED LIVING LLC (NPI# 1972129690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972129690 |
| Entity Type | Organization |
| Organization Name | GRANTS PASS ASSISTED LIVING LLC |
| Practice Address |
201 Sw Bridge St Grants Pass OR 97526-2925 |
| Practice Telephone | 5419562110 |
| Practice Fax Number | 5419762109 |
| Mailing Telephone | 5419562110 |
| Mailing Fax Number | 5419762109 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | TODD MONROE WOOLLARD (MANAGING MEMBER) |
| Authorized Official Telephone | 5419562110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 509759 | 05 |
| Other Name | Type Code |
|---|---|
| The Bridge Assisted Living | Doing Business As Name - Organization |
| Street Address |
201 SW BRIDGE ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1881210136 | Lynn Ann Development, LLC | Assisted Living Facility | 1700 Kellenbeck Ave, Grants Pass, OR 97527-4251 | 2020-06-23 |
| 1932725587 | Suites Alf, LLC | Assisted Living Facility | 1301 Se Southpark Dr, Grants Pass, OR 97527-5239 | 2020-06-19 |
| 1558986851 | Oregon Heights, LLC | Assisted Living Facility | 3111 Canal Ave, Grants Pass, OR 97527-6371 | 2020-06-11 |
| 1205097342 | Oak Lane, LLC | Assisted Living Facility | 727 Sw Rogue River Ave, Grants Pass, OR 97526-2777 | 2008-06-20 |
| 1356569966 | Spring Meadow Cottages | Assisted Living Facility | 1441 Shady Ln, Grants Pass, OR 97527-6038 | 2007-04-22 |
| 1841317641 | The Suites | Assisted Living Facility | 1301 Parkdale Dr, Grants Pass, OR 97527-4990 | 2007-03-25 |
| 1568589364 | Spring Pointe | Assisted Living Facility | 1400 Redwood Cir, Grants Pass, OR 97527-5524 | 2007-03-25 |
| 1013034818 | Spring Village | Assisted Living Facility | 1420 Redwood Cir, Grants Pass, OR 97527-5536 | 2007-03-25 |
| 1588073605 | S-h Opco Spring Village, LLC | Assisted Living Facility | 1420 Redwood Cir, Grants Pass, OR 97527-5536 | 2014-08-04 |
| 1215346333 | S-h Opco Spring Pointe, LLC | Assisted Living Facility | 1400 Redwood Cir, Grants Pass, OR 97527-5524 | 2014-08-04 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on GRANTS PASS ASSISTED LIVING LLC.
| 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.