Eagle Meadows Assisted Living Community, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

BH 1599 Issued in WA

Legal business name

EAGLE MEADOWS ASSISTED LIVING COMMUNITY, LLC

Doing business as

EAGLE MEADOWS

Practice address

550 E Whitman Dr
College Place, WA 99324-2121

Phone

(509) 526-7007

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Manager

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Other names 1

• EAGLE MEADOWS Doing business as

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659491678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024975",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WHITMAN DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993242121",
            "telephone_number": "509-526-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEADOWS ASSISTED LIVING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "BH 1599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE MEADOWS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in College Place, WA
• Providers in College Place, WA by specialty
• Assisted Living Facility in Washington

• 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.