Callahan Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CALLAHAN ALF, LLC

Practice address

1801 NW Garden Valley Blvd
Roseburg, OR 97471-1627

Phone

(541) 673-4500

Fax

(541) 672-1346

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Callahan Village Assisted Living Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Austin Cook-Lindsay, DPT

  • Physical Therapist
  • Roseburg, OR
  • NPI 1205601085
  NPD

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1306462072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711627",
            "telephone_number": "541-673-4500",
            "fax_number": "541-672-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521350",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callahan Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diega M Cabrera, MSW, LCSW
• Danfeng Cai, PHARM.D
• Christopher Caldwell, QMHA, CADC-R
• California Emergency Physicians Medical Group, a Professional Corp
• California Emergency Physicians Medical Group, a Professional Corp.
• Callahan MC, LLC
• Callahan Village II, LLC
• Elaine H Callahan, MD
• Camille E Campanaro, OTD OTR/L
• Brieanna Lerae Campbell

• Assisted Living Facility in Roseburg, OR
• Providers in Roseburg, 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 Jun 18, 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.