Sandy Assisted Living LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SANDY ASSISTED LIVING LLC

Doing business as

Cascadia Village Retirement Community

Practice address

3200 State Street
Suite 200
Salem, OR 97301

Phone

(503) 566-5715

Fax

(503) 588-3531

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelley D Hamilton

Title

Ceo-Pres of Manager

Phone

(503) 566-5715

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cascadia Village Retirement Community Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1124233622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39495 CASCADIA VILLAGE DR",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970556384",
            "telephone_number": "503-668-0300",
            "fax_number": "503-668-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 STATE STREET",
            "address_2": "SUITE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-566-5715",
            "fax_number": "503-588-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO-PRES OF MANAGER",
        "authorized_official_telephone_number": "503-566-5715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "647142-81",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascadia Village Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Marie Sanders, R.D.H.
• Dora Luz Sandoval, EPDH
• Norma Z Sandoval, LMT
• Roxanna Sandoval
• Sandra L. Stradley, LCSW, PC
• Jason Sandys, L.AC.
• Uma Sankaram, PSYD
• Daniel Robert Santee, DMD
• Santiam Anesthesia Group, LLC
• Santiam Foot Clinic, PC

• Point of Service in Salem, OR
• Providers in Salem, OR by specialty
• Point of Service in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.