Hawks Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAWKS ALF, LLC

Practice address

1795 8TH St
Hood River, OR 97031-2902

Phone

(541) 387-4087

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hawks Ridge Assisted Living Doing business as

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1780200477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 8TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312902",
            "telephone_number": "541-387-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKS ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519980",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawks Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jane Harvey-Smith, LMT
• John Alden Hatheway, M.D.
• Erin Solveig Hatlestad, LMT
• Michael George Hauty, MD
• Elizabeth J Hawkey, PHD
• Hawks Ridge
• James Manley Haynes, MD
• Haynie Premier Providers PC
• Curtis C Haynie
• Healing Tree Family Medicine

• Assisted Living Facility in Hood River, OR
• Providers in Hood River, 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 Jun 18, 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.