LARISA KRAVCHUK NPI 1558837781

NPI Information

NPI: 1558837781
Provider Name: LARISA KRAVCHUK
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
805 FIR CONE DR NE
KEIZER, OR
ZIP 97303
Phone: (503) 463-6508
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Larisa Kravchuk is an adult care home custodial care facility in Keizer, OR. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Larisa Kravchuk NPI is 1558837781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 FIR CONE DR NE
KEIZER, OR
ZIP 97303-328
Phone: (503) 463-6508

The enumeration date for this NPI number is 10/15/2018 and was last updated on 10/15/2018.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home		OREGON	Yes

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

NPI Synchronization or Removal

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