Children Farm Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

101Y00000X Issued in OR

Legal business name

CHILDREN FARM HOME

Practice address

4455 NE Highway 20
Corvallis, OR 97330-9695

Phone

(541) 757-1852

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Walker Cook Vave

Title

Skills Trainer

Phone

(541) 758-5944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1760827182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 SE POWELL BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023371",
            "telephone_number": "503-234-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 NE HIGHWAY 20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309695",
            "telephone_number": "541-757-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN FARM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "VAVE",
        "authorized_official_first_name": "WALKER",
        "authorized_official_middle_name": "COOK",
        "authorized_official_title_or_position": "SKILLS TRAINER",
        "authorized_official_telephone_number": "541-758-5944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Chiavini, R.D.
• Zoltan Chien-Szegedy, PA-C
• Nicola Chikkalingaiah, MD
• Ravi Chikkalingaiah, MD
• Childerns Farm Home
• Childrens Farm Home
• Andrea Chin
• David Chin, PHARM.D.
• Emily Chin
• Nicolle Felice Ramos Cho

• Emotionally Disturbed Childrens' Residential Treatment Facility in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.