Organization Active NPI

Midwest Care Angelwood, LLC

  • Assisted Living Facility
  • Eugene, OR
National Provider Identifier
1902138712
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MIDWEST CARE ANGELWOOD, LLC
Practice address
78 Centennial Loop
Eugene, OR 97401-7900
Phone
(541) 743-0936
Fax
(541) 746-5781
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Ms. Lacie Morgan
Title
Legal Administrative Assistant
Phone
(541) 743-0924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

78 Centennial Loop
Eugene, OR 97401-7900

Mailing address

3200 Hayes Ave
Clinton, OK 73601-3514
Phone (541) 743-0936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1902138712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HAYES AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013514",
            "telephone_number": "541-743-0936",
            "fax_number": "541-746-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017900",
            "telephone_number": "541-743-0936",
            "fax_number": "541-746-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARE ANGELWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LACIE",
        "authorized_official_title_or_position": "LEGAL ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "541-743-0924",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.