JENNINGS MCCALL CENTER NPI 1730705823

NPI Information

NPI: 1730705823
Provider Name: JENNINGS MCCALL CENTER
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2221 OAK ST
FOREST GROVE, OR
ZIP 97116
Phone: (503) 359-4465
Get Directions

JENNINGS MCCALL CENTER is an assisted living facility in Forest Grove, 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. JENNINGS MCCALL CENTER NPI is 1730705823. The provider is registered as an organization entity type.

The provider's business location address is:

2221 OAK ST
FOREST GROVE, OR
ZIP 97116-052
Phone: (503) 359-4465
Fax: (503) 359-8552

The provider's authorized official is Rick Komraus .
The authorized official title is Grand Secretary and has the following contact phone number (503) 357-3158.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 6/24/2020.

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
1	311500000X	Alzheimer Center (Dementia Center)				No
2	310400000X	Assisted Living Facility				Yes

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
1	521693	MEDICAID	OREGON
2	524956	MEDICAID	OREGON

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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