Active NPI
Dragonfly Programs, LLC
- Mental Illness Community Based Residential Treatment Facility
- Klamath Falls, OR
National Provider Identifier
1144948191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- DRAGONFLY PROGRAMS, LLC
- Practice address
- 13221 Mann Rd
Klamath Falls, OR 97603-9720 - Phone
- (541) 850-0841
- Fax
- (866) 341-3053
- NPI assigned
- Aug 16, 2022
- Organization subpart
- Yes
- Parent organization
- DRAGONFLY PROGRAMS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharnell Spencer
- Title
- Credentialing Manager
- Phone
- (661) 239-6923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
13221 Mann Rd
Klamath Falls, OR 97603-9720
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132
Other names 1
- Embark at Dragonfly
National Provider Directory
National Provider Directory- Tax ID family
- Dragonfly Programs LLC
- Part of
- Dragonfly Programs LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Klamath Falls, OR
- NPI 1043092224
-
- Mental Illness Community Based Residential Treatment Facility
- Klamath Falls, OR
- NPI 1134901317
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Klamath Falls, OR
- NPI 1811541568
-
- Mental Illness Community Based Residential Treatment Facility
- Klamath Falls, OR
- NPI 1962284141
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Klamath Falls, OR
- NPI 1811541568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1144948191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MING AVE STE 410",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933094631",
"telephone_number": "661-622-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13221 MANN RD",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976039720",
"telephone_number": "541-850-0841",
"fax_number": "866-341-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAGONFLY PROGRAMS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DRAGONFLY PROGRAMS, LLC",
"enumeration_date": "2022-08-16",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "SHARNELL",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "661-239-6923"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Embark at Dragonfly",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Embark at Dragonfly",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.