Mennonite Home of Albany, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MENNONITE HOME OF ALBANY, INC.

Practice address

2525 47TH Ave SE
Albany, OR 97322-8842

Phone

(541) 928-7232

Fax

(541) 917-1399

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Chester W. Patterson, CPA, NHA

Title

Chief Financial Officer

Phone

(541) 928-7232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quail Run Assisted Living Doing business as

Tax ID family

Lydia'S House3 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.

• Mennonite Home of Albany, Inc.

  • Alzheimer Center (Dementia Center)
  • Albany, OR
  • NPI 1417957655
  NPD tax ID
• Mennonite Home of Albany, Inc.

  • Skilled Nursing Facility
  • Albany, OR
  • NPI 1962402271
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia L. Matthews, LCSW

  • Social Worker
  • Corvallis, OR
  • NPI 1841334794
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477553790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 COLUMBUS ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227136",
            "telephone_number": "541-928-7232",
            "fax_number": "541-917-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 47TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973228842",
            "telephone_number": "541-928-7232",
            "fax_number": "541-917-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE HOME OF ALBANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-928-7232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584636",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Run Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Meier, P.T., D.P.T.
• Kendall Mellgren
• Alfredo Amador Mendoza Santiago, QMHA, CADC-R, CRM
• Vanessa Mendoza
• Mennonite Home of Albany, Inc.
• Mennonite Home of Albany, Inc.
• Julie Ann Mercer, M.ED.
• Deon Merten
• Robert B Merwin Jr., LPC, CADCIII, CGACII
• Elizabeth Meyer

• Assisted Living Facility in Albany, OR
• Providers in Albany, 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 Aug 22, 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.