NPIMap

Organization Active NPI

Chateau Angel Rose LLC.

  • Peer Specialist
  • Klamath Falls, OR
National Provider Identifier
1912756180
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
CHATEAU ANGEL ROSE LLC.
Practice address
3882 Rio Vista Way
Klamath Falls, OR 97603-7727
Phone
(541) 891-9861
NPI assigned
May 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Authorized official

Name
Misty R Elrod, PEER SUPPORTNPI 1235900358
Title
Owner
Phone
(541) 891-9861

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
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

3882 Rio Vista Way
Klamath Falls, OR 97603-7727

Mailing address

3882 Rio Vista Way
Klamath Falls, OR 97603-7727
Phone (541) 891-9861

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1912756180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3882 RIO VISTA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037727",
            "telephone_number": "541-891-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3882 RIO VISTA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037727",
            "telephone_number": "541-891-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU ANGEL ROSE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-891-9861",
        "authorized_official_credential": "PEER SUPPORT"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2024; 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.