Cascade Comprehensive Care, Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

07-00000225 Issued in OR

Legal business name

CASCADE COMPREHENSIVE CARE, INC

Practice address

2909 Daggett Ave
Suite 200
Klamath Falls, OR 97601-7101

Phone

(541) 883-2947

Fax

(541) 885-9858

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Iona Leanne Rose

Title

Claims Manager

Phone

(541) 883-2947

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad J. Cummings, RPH

  • Pharmacist
  • Klamath Falls, OR
  • NPI 1861603292
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780796649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 DAGGETT AVE",
            "address_2": "SUITE 200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017101",
            "telephone_number": "541-883-2947",
            "fax_number": "541-885-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 DAGGETT AVE",
            "address_2": "SUITE 200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017101",
            "telephone_number": "541-883-2947",
            "fax_number": "541-885-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE COMPREHENSIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "IONA",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "541-883-2947"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "07-00000225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135843",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Carpenter
• Hannah L Carr
• Lori Ann Carson, CADC2, QMHP
• Troy Allen Carson, QMHA
• Marc Evans Jueco Cas
• Michael J Casey, MD
• Lashanda Castellanos
• Cody Patrick Castle
• Leah Castle
• Rachel Castle

• Preferred Provider Organization in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Preferred Provider Organization in Oregon

• 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.