NPIMap

Organization Active NPI

Assisted Living Concepts Inc

Doing business as Douglas House

  • Assisted Living Facility
  • Sutherlin, OR
National Provider Identifier
1124215413
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASSISTED LIVING CONCEPTS INC
Doing business as
Douglas House
Practice address
1465 East Central
Sutherlin, OR 97479
Phone
(541) 459-7505
Fax
(541) 459-8619
NPI assigned
Oct 1, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Walter A Levonowich
Title
Vice President Controller
Phone
(262) 257-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OR Primary

Addresses

Primary practice location

1465 East Central
Sutherlin, OR 97479

Mailing address

W140 N8981 Lilly Road
Attn Legal Department
Menomonee Falls, WI 53051-2325
Phone (262) 257-8888

Other identifiers 1

IdentifierTypeStateIssuer
501509MedicaidOR

Other names 1

  • Douglas House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living Concepts Inc213 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1124215413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W140 N8981 LILLY ROAD",
            "address_2": "ATTN LEGAL DEPARTMENT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512325",
            "telephone_number": "262-257-8888",
            "fax_number": "262-251-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 EAST CENTRAL",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "97479",
            "telephone_number": "541-459-7505",
            "fax_number": "541-459-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT CONTROLLER",
        "authorized_official_telephone_number": "262-257-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501509",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sutherlin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.