NPIMap

Organization Active NPI

Elderly and Disabled Services

Doing business as Restoration Center SRTF

  • Mental Illness Community Based Residential Treatment Facility
  • Central Point, OR
National Provider Identifier
1447845763
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ELDERLY AND DISABLED SERVICES
Doing business as
Restoration Center SRTF
Practice address
4439 Hamrick Rd
Central Point, OR 97502-2816
Phone
(541) 261-1991
Fax
(541) 631-3424
NPI assigned
Mar 8, 2021
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ELDERLY AND DISABLED SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Larry Michael McPheeNPI 1164000170
Title
Provider
Phone
(541) 261-1991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary
Psychiatric Residential Treatment Facility 323P00000X NU

Addresses

Primary practice location

4439 Hamrick Rd
Central Point, OR 97502-2816

Mailing address

3126 State St Ste 100
Medford, OR 97504-8665
Phone (458) 225-9358

Other identifiers 1

IdentifierTypeStateIssuer
500791695MedicaidOR

Other names 1

  • Restoration Center SRTF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elderly and Disabled Services7 organizations share this tax ID, including this one
Part of
Elderly and Disabled Services

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1447845763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STATE ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048665",
            "telephone_number": "458-225-9358",
            "fax_number": "541-631-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 HAMRICK RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022816",
            "telephone_number": "541-261-1991",
            "fax_number": "541-631-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY AND DISABLED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDERLY AND DISABLED SERVICES",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-261-1991"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500791695",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Center SRTF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.