Ohana Grants Pass Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OHANA GRANTS PASS OPERATIONS LLC

Practice address

201 SW Bridge St
Grants Pass, OR 97526-2925

Phone

(415) 956-2110

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Hilty

Title

Owner

Phone

(503) 789-5345

Specialties & licenses 1

Addresses

Other names 1

• Bridge Assisted Living Doing business as

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1093478844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SW BRIDGE ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262925",
            "telephone_number": "415-956-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SW BRIDGE ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262925",
            "telephone_number": "415-956-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA GRANTS PASS OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "HILTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-789-5345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Oden
• David Oehling, M.D.
• Donald Ogan
• Theresa Anne Ogden
• Ohana GP Operations LLC
• Laurel Okorofsky
• Kyle Oliverio
• Denise Olson, CADC II
• Georgianna Olson, LPC
• Krista Olson

• 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 Oct 19, 2021; 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.