Hartford Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

519091 Issued in OR

Legal business name

HARTFORD HOME

Practice address

294 Whitman St S
Monmouth, OR 97361-2035

Phone

(503) 838-2114

Fax

(503) 837-0683

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kaiolani B Calip

Title

Manager/Administrator/Coordinator

Phone

(503) 838-2114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1285044636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WHITMAN ST S",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973612035",
            "telephone_number": "503-838-2114",
            "fax_number": "503-837-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WHITMAN ST S",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973612035",
            "telephone_number": "503-838-2114",
            "fax_number": "503-837-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "CALIP",
        "authorized_official_first_name": "KAIOLANI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR/COORDINATOR",
        "authorized_official_telephone_number": "503-838-2114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OR",
            "license": "519091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elli Rose Garbarino
• Ian J Gilkison, DPT
• Alexandra Mae Gloor, PMHNP, FNP
• Marcos Jeffrey Godman
• Roobaa Gonfa, PHARMD
• Michelle L Hasbrook, DMD
• Healthy Smiles
• Heron Pointe III, LLC (Heron Pointe)
• Stephen Hotrum, PHARMD
• Christine Barbara Huang, DMD

• Assisted Living Facility (Mental Illness) in Monmouth, OR
• Providers in Monmouth, OR by specialty
• Assisted Living Facility (Mental Illness) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.