CLAYDAVISSTROUD - OREGON, LLC (NPI# 1972633261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972633261 |
| Entity Type | Organization |
| Organization Name | CLAYDAVISSTROUD - OREGON, LLC |
| Other Organization Name | SUN TERRACE HERMISTON |
| Practice Address |
1550 Nw 11th St Hermiston OR 97838-6692 |
| Practice Telephone | 5415642595 |
| Practice Fax Number | 5415643087 |
| Mailing Telephone | 5415642595 |
| Mailing Fax Number | 5415643087 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURA L. YOUNG (ADMINISTRATOR) |
| Authorized Official Telephone | 5415642595 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 70M248 | OR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sun Terrace Hermiston | Doing Business As Name - Organization |
| Street Address |
1550 NW 11TH ST |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| 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 |
|---|---|---|---|---|
| 1558579813 | Rose Arbor Inc | Assisted Living Facility | 540 Nw 12th St, Hermiston, OR 97838 | 2007-05-18 |
| 1073630869 | Hermiston Terrace | Assisted Living Facility | 980 W Highland Ave, Hermiston, OR 97838-2146 | 2007-03-25 |
| 1295350304 | Hermiston Highland Operations, LLC | Assisted Living Facility | 980 W Highland Ave, Hermiston, OR 97838-2146 | 2020-06-15 |
| 1700190238 | Emeritus Corporation | Assisted Living Facility | 980 W Highland Ave, Hermiston, OR 97838-2146 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| 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.