NPIMap

Organization Active NPI

Kairos Northwest

Doing business as Kairos

  • Community/Behavioral Health Agency
  • Grants Pass, OR
National Provider Identifier
1487782900
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
38L011 Issued in OR
Legal business name
KAIROS NORTHWEST
Doing business as
Kairos
Practice address
1750 Nebraska Ave
Grants Pass, OR 97527-5700
Phone
(541) 956-4943
Fax
(541) 956-5463
NPI assigned
Feb 28, 2007
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Silence Casavant
Title
HR Director
Phone
(541) 956-4943

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 38L011 OR Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 38L011 OR
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 38L011 OR
Psychiatric Residential Treatment Facility 323P00000X 38L011 OR

Addresses

Primary practice location

1750 Nebraska Ave
Grants Pass, OR 97527-5700

Mailing address

1750 Nebraska Ave
Grants Pass, OR 97527-5700
Phone (541) 956-4943

Other practice location 1

10 Crater Lake Ave
Medford, OR 97504-7445
Phone (541) 956-4943

Other names 1

  • KAIROS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kairos3 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.

Locations

1750 Nebraska Ave
Grants Pass, OR 97527
Phone (541) 474-5579

10 Crater Lake Ave
Medford, OR 97504
Phone (541) 608-0169

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1487782900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943",
            "fax_number": "541-956-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943",
            "fax_number": "541-956-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Crater Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975047445",
            "country_code": "US",
            "telephone_number": "541-956-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CASAVANT",
        "authorized_official_first_name": "SILENCE",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "541-956-4943"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "38L011",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "38L011",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "license": "38L011",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": "38L011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAIROS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAIROS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.