Dorchester House Retirement Residence LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DORCHESTER HOUSE RETIREMENT RESIDENCE LLC

Practice address

2701 Hwy 101
Lincoln City, OR 97367

Phone

(541) 994-7175

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Manager

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Other names 1

• Dorchester House Retirement Apartments Doing business as

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174745202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE",
            "address_2": "SUITE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HWY 101",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "97367",
            "telephone_number": "541-994-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER HOUSE RETIREMENT RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorchester House Retirement Apartments",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Yarnall Dembitsky, M.D.
• Nicole Dickerson
• Scott Dieker, RN
• Paul Louis Dimodica, D.O.
• Elizabeth I Donner, MS
• Dr. Megan Sorensen DNP-CNS LLC
• L Faith Drake, LMT
• Danny Dryden, CRM
• Stephanie Duckett, DO
• Kylar A Dunn

• Assisted Living Facility in Lincoln City, OR
• Providers in Lincoln City, 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 Aug 22, 2020; 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.