Memory Lane Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEMORY LANE HOMES, LLC

Practice address

3078 Resort St
Baker City, OR 97814-2100

Phone

(541) 523-1150

NPI assigned

Jan 23, 2019

Organization subpart

No

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

Authorized official

Name

Robert Whitnah

Title

Owner

Phone

(541) 523-1150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1740744820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 1ST ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143309",
            "telephone_number": "541-519-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 RESORT ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142100",
            "telephone_number": "541-523-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY LANE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "WHITNAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-1150"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jean McLean
• Gary L McOmber, PHARMD, BCPS
• Kristy Suzann McPherson
• Michael Hugh McQueen, MD
• Meadowbrook Place Operations, LLC
• Leecille M Mertz, LPN
• Leah Michel, LAC, MSOM
• Andrew Micka
• Kathleen Mills
• Jessica Minor, OTR/L

• Assisted Living Facility in Baker City, OR
• Providers in Baker City, 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 Jan 23, 2019; 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.