Active NPI
McKenzie Living, Incorporated
- Adult Care Home Facility
- Eugene, OR
National Provider Identifier
1376071464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 1384746729
- Legal business name
- MCKENZIE LIVING, INCORPORATED
- Practice address
- 2621 Lone Oak Way
Eugene, OR 97404 - Phone
- (541) 302-1667
- Fax
- (541) 302-1339
- NPI assigned
- Jun 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Britt
- Title
- Chief Financial Officer
- Phone
- (541) 302-1667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1384746729 | OR | Primary |
Addresses
Primary practice location
2621 Lone Oak Way
Eugene, OR 97404
Mailing address
PO Box 1848
Eugene, OR 97440-1848
Phone (541) 302-1667
Other practice location 1
6452 A St
Springfield, OR 97478-7049
Phone (541) 302-1667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525111 | Medicaid | OR | |
| 527105 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
6452 A St
Springfield, OR 97478
Phone (541) 302-1667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1376071464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "EUGENE",
"state": "OR",
"postal_code": "974401848",
"telephone_number": "541-302-1667",
"fax_number": "541-302-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 LONE OAK WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "97404",
"telephone_number": "541-302-1667",
"fax_number": "541-302-1339"
}
],
"practiceLocations": [
{
"address_1": "6452 A St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974787049",
"country_code": "US",
"telephone_number": "541-302-1667",
"fax_number": "541-302-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCKENZIE LIVING, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-01",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "BRITT",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "541-302-1667"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "OR",
"license": "1384746729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525111",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527105",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.