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MENNONITE HOME OF ALBANY INC. NPI 1477553790


NPI Information

NPI: 1477553790
Provider Name: MENNONITE HOME OF ALBANY, INC.

Doing Business As: QUAIL RUN ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2525 47TH AVE SE
ALBANY, OR
ZIP 97322
Phone: (541) 928-7232
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MENNONITE HOME OF ALBANY, INC. is an assisted living facility in Albany, OR. The provider is 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. MENNONITE HOME OF ALBANY, INC. NPI is 1477553790. The provider is registered as an organization entity type.
The provider Is Doing Business As Quail Run Assisted Living.

The provider's business location address is:

2525 47TH AVE SE
ALBANY, OR
ZIP 97322-842
Phone: (541) 928-7232
Fax: (541) 917-1399

The provider's authorized official is Chester W. Patterson .
The authorized official title is Chief Financial Officer and has the following contact phone number (541) 928-7232.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1584636MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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