Thank You Daddy, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

THANK YOU DADDY, LLC

Doing business as

Pacific Living Centers of Grants Pass at Anique
Pacific Living Centers of Grants Pass at Heidi

Practice address

525 SW Anique LN
Grants Pass, OR 97526-5416

Phone

(541) 474-4376

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Carl A Mason

Title

Coo

Phone

(503) 826-5190

Specialties & licenses 1

Addresses

Other names 2

• Pacific Living Centers of Grants Pass at Anique Doing business as
• Pacific Living Centers of Grants Pass at Heidi Doing business as

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1104660026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25260 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706627",
            "telephone_number": "503-826-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SW ANIQUE LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975265416",
            "telephone_number": "541-474-4376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 NW Heidi Ln",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975266323",
            "country_code": "US",
            "telephone_number": "541-955-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THANK YOU DADDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-826-5190"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Living Centers of Grants Pass at Anique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Living Centers of Grants Pass at Heidi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Lynn Terpening, RPH
• Mollie Faye Terpening, LPC
• Travis Jay Terpening, PHARM D.
• Allison Terrazzano
• Samantha Tevis
• Samantha Leigh Thatcher
• The Grove Dental GP
• The Grove Healing & Wellness Center
• The Suites
• April A Theisen, PA-C

• Alzheimer Center (Dementia Center) in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.