Organization Active NPI

McKenzie Living, Incorporated

  • Adult Care Home Facility
  • Eugene, OR
National Provider Identifier
1376071464
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
1384746729 Issued in OR
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

Updated by the provider on May 16, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
525111MedicaidOR
527105MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.