Bob Belloni Ranch Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOB BELLONI RANCH INC.

Practice address

320 Central Ave Ste 406
Coos Bay, OR 97420-2241

Phone

(541) 269-0321

Fax

(541) 267-0785

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Thujee Paul Lhendup

Title

Executive Director

Phone

(541) 269-0321

Specialties & licenses 1

Addresses

Tax ID family

Bob Belloni Ranch Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bob Belloni Ranch, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Coos Bay, OR
  • NPI 1093040693
  NPD tax ID
• Bob Belloni Ranch, Inc.

  • Behavior Analyst
  • Coos Bay, OR
  • NPI 1568899243
  NPD tax ID

Locations

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1376165068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 406",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0321",
            "fax_number": "541-267-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 406",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0321",
            "fax_number": "541-267-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB BELLONI RANCH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "LHENDUP",
        "authorized_official_first_name": "THUJEE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-269-0321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryon Blackwell, D.C.
• Tiffany Michelle Bland
• Celeste Blanken, DO
• Davina Lynn Bledsoe, FNP-BC
• Thomas Blodgett, PHARMD
• Bob Belloni Ranch, Inc.
• Bob Belloni Ranch, Inc.
• Anne Marie Bombardier, CRNA
• Kellilynn Bosak, LCSW
• Richard L Bossardt, L.C.S.W.

• Community/Behavioral Health Agency in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.