NPIMap

Organization Active NPI

Telecare Recovery Services

  • Psychiatric Residential Treatment Facility
  • Woodburn, OR
National Provider Identifier
1871885012
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
TELECARE RECOVERY SERVICES
Practice address
1605 E Lincoln Rd
Woodburn, OR 97071-5137
Phone
(503) 982-9300
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mr. Micheal Dehart
Title
Peer Support Specialist
Phone
(503) 982-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1605 E Lincoln Rd
Woodburn, OR 97071-5137

Mailing address

1605 E Lincoln Rd
Woodburn, OR 97071-5137
Phone (503) 982-9300

National Provider Directory

National Provider Directory
Tax ID family
Telecare Soar162 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1871885012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E LINCOLN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970715137",
            "telephone_number": "503-982-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E LINCOLN RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970715137",
            "telephone_number": "503-982-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "PEER SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "503-982-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.