NPIMap

Organization Active NPI

Homestead Youth & Family Services, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Pendleton, OR
National Provider Identifier
1629270780
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
12718785 Issued in OR
Legal business name
HOMESTEAD YOUTH & FAMILY SERVICES, INC.
Practice address
816 SE 15TH St.
Pendleton, OR 97801
Phone
(541) 276-5433
Fax
(541) 276-8605
NPI assigned
Jun 1, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Candice D. Creger
Title
Clerical Specialist
Phone
(541) 276-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 12718785 OR Primary

Addresses

Primary practice location

816 SE 15TH St.
Pendleton, OR 97801

Mailing address

PO Box 1325
Pendleton, OR 97801-0260
Phone (541) 276-5433

Other identifiers 1

IdentifierTypeStateIssuer
240007MedicaidOR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2082128Homestead Youth & Family Services816 SE 15TH St, Pendleton, OR 97801Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

816 SE 15th St
Pendleton, OR 97801
Phone (541) 276-5433

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1629270780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010260",
            "telephone_number": "541-276-5433",
            "fax_number": "541-276-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 SE 15TH ST.",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "97801",
            "telephone_number": "541-276-5433",
            "fax_number": "541-276-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD YOUTH & FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "CREGER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CLERICAL SPECIALIST",
        "authorized_official_telephone_number": "541-276-5433"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "OR",
            "license": "12718785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240007",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.

Verify at the official NPI Registry.