Active NPI
Spring Valley Limited Partnership
Doing business as Spring Valley Assisted Living
- Assisted Living Facility
- Springfield, OR
National Provider Identifier
1417118555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 1928687690
- Legal business name
- SPRING VALLEY LIMITED PARTNERSHIP
- Doing business as
- Spring Valley Assisted Living
- Practice address
- 770 Harlow Rd
Springfield, OR 97477-1132 - Phone
- (541) 744-2116
- Fax
- (541) 744-0103
- NPI assigned
- Jun 20, 2008
- Last updated
- Jun 20, 2008
- 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
- Elizabeth Marie Moss
- Title
- Director of Risk Management
- Phone
- (503) 588-2725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1928687690 | OR | Primary |
Addresses
Primary practice location
770 Harlow Rd
Springfield, OR 97477-1132
Mailing address
200 Hawthorne Ave SE Ste A140
Salem, OR 97301-5092
Phone (503) 588-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 555099 | Medicaid | OR |
Other names 1
- Spring Valley Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2096744 | Spring Valley Assisted Living | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1417118555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWTHORNE AVE SE STE A140",
"city": "SALEM",
"state": "OR",
"postal_code": "973015092",
"telephone_number": "503-588-2725",
"fax_number": "503-588-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HARLOW RD",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974771132",
"telephone_number": "541-744-2116",
"fax_number": "541-744-0103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING VALLEY LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
"authorized_official_telephone_number": "503-588-2725"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OR",
"license": "1928687690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "555099",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Valley Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, OR
- Eric A Spencer, MD
- Donna Spicer, LPN
- Matthew Spilde
- Spine Center of Eugene, Inc (dba, Physical Therapy Services)
- Kellie Marissa Sprangel, MD
- Springfield Dental Partners LLC (Mountain Stream Dental)
- Springfield Holistic Health Center, LLC
- Springfield Kids Dentist LLC
- Springfield of Olympus, LLC
- Springfield Or Anesthesia Associates LLC (Springfield Or Anesthesia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.