Organization Active NPI

Grove Care Clinic LLC

  • Primary Care Clinic/Center
  • Cottage Grove, OR
National Provider Identifier
1831902261
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GROVE CARE CLINIC LLC
Practice address
1601 E Main St
Cottage Grove, OR 97424-2243
Phone
(541) 780-0037
Fax
(541) 702-8784
NPI assigned
Jan 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Devon SchneiderNPI 1891070207
Title
Owner
Phone
(541) 680-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1601 E Main St
Cottage Grove, OR 97424-2243

Mailing address

1498 E Main St Ste 103
PMB 342
Cottage Grove, OR 97424-2204
Phone (541) 780-0037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218002857 OR Part B Supplier - Clinic/Group Practice 7618488453 Receives reassigned benefits from 1 practitioner
Practice locations: Cottage Grove, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2323711Grove Care Clinic1601 E Main St Unit B, Cottage Grove, OR 97424Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

1498 E Main St
Ste 103
Cottage Grove, OR 97424

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1831902261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 E MAIN ST STE 103",
            "address_2": "PMB 342",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242204",
            "telephone_number": "541-780-0037",
            "fax_number": "541-702-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242243",
            "telephone_number": "541-780-0037",
            "fax_number": "541-702-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-680-3210"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.