Assisted Living Concepts Inc
Organization Active NPI Assisted Living Facility · Talent, OR
NPI 1013104306 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1013104306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- ASSISTED LIVING CONCEPTS INC
- Practice address
- 300 Suncrest Road
Talent, OR 97540 - Phone
- (541) 512-9474
- Fax
- (541) 512-0321
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Walter A Levonowich
- Title
- Vice President Controller
- Phone
- (262) 257-8888
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Assisted Living Concepts Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | OR | Yes |
Addresses
Primary practice location
300 Suncrest Road
Talent, OR 97540
Mailing address
W140 N8981 Lilly Road
Attn Legal Department
Menomonee Falls, WI 53051-2325
Phone (262) 257-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501136 | Medicaid | OR |
Other names
- Jackson House
Other providers in Talent, OR
- Loveleen K Ahluwalia
- Talah Alem
- Laura Allred
- Anne L Henry LPC Counseling LLC
- Paul Miguel Arredondo
- Nicole Lanthier Auer
- Ryan Baker
- Debra Ann Bartz
- Jordan Romney Bennett
- Barbara Linda Berg
All providers in Talent, OR · Assisted Living Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.