Spring Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING VILLAGE

Practice address

1420 Redwood Cir
Grants Pass, OR 97527-5536

Phone

(541) 474-0200

Fax

(503) 485-1279

NPI assigned

Mar 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jon Harder

Title

President

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013034818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-486-4600",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 REDWOOD CIR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275536",
            "telephone_number": "541-474-0200",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niklaus Arthur Spendlove, DMD
• Charlotte Anna Sperisen, L.M.T.
• Lacey R Spon, BS
• Spring Meadow Cottages
• Spring Pointe
• Henry Ssentongo, MD
• Domenica Stabile-Zwart, 101Y00000X
• Priscilla Ann Stack
• Shawna N Stafford
• Eric Gardner Stahlman

• Assisted Living Facility in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.