Latitude Healthcare Management Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LATITUDE HEALTHCARE MANAGEMENT INC.

Practice address

131 Alder St
Central Point, OR 97502-2200

Phone

(541) 664-3757

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

L. Charles Bloom

Title

Owner

Phone

(503) 781-3250

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alderwood Assisted Living Doing business as

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1619642659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N LOTUS BEACH DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ALDER ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022200",
            "telephone_number": "541-664-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE HEALTHCARE MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "L. CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-781-3250"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528975",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• La Clinica del Valle Family Health Care Center Inc.
• Kelli Ann Lafleur, RN, FNP
• Janine Lamb, L.AC.
• Ailill Lambert
• Judd Robert Larson, D.D.S.
• Michelle Lynn Lauffenburger/Parmenter
• Alan Ledford, PHD
• Eunbeen Lee, PSYD
• Michelle Lynn Lee
• Matthew Joseph Legge

• Assisted Living Facility in Central Point, OR
• Providers in Central Point, 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 11, 2021; 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.