Deer Meadow LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DEER MEADOW LLC

Practice address

1350 W Main St
Sheridan, OR 97378-6052

Phone

(503) 843-7799

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 1

Addresses

Other names 1

• DEER MEADOW ASSISTED LIVING COMMUNITY Doing business as

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1376660167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W MAIN ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973786052",
            "telephone_number": "503-843-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER MEADOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEER MEADOW ASSISTED LIVING COMMUNITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue M. Brandt, COTA
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• Cody Charron
• David Collins, MD
• Randy Eugene Crowe, L.AC.
• Federal Correctional Institution Sheridan
• Andrew Barnes Grasley, MD
• Tina Hammond, DC
• Cheryl Ann Howell
• Robert J Keehner, RPH

• Assisted Living Facility in Sheridan, OR
• Providers in Sheridan, 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 Jul 15, 2008; 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.