Holiday Al Nic Management LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLIDAY AL NIC MANAGEMENT LLC

Practice address

5885 Meadows Rd
Suite 500
Lake Oswego, OR 97035-8639

Phone

(971) 245-8020

NPI assigned

Oct 14, 2016

Organization subpart

No

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

Authorized official

Name

Diane L Thompson

Title

Paralegal for Management Company

Phone

(971) 245-8020

Specialties & licenses 1

Addresses

Other identifiers 16

Other names 1

• HOLIDAY RETIREMENT Doing business as

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1972054989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD",
            "address_2": "SUITE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358639",
            "telephone_number": "971-245-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 MEADOWS RD",
            "address_2": "SUITE 500",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358639",
            "telephone_number": "971-245-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY AL NIC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARALEGAL FOR MANAGEMENT COMPANY",
        "authorized_official_telephone_number": "971-245-8020"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009421900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009507900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009793200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009793400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009788900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009091600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009789900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009794200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805631",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009023200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009678900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009790400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805634",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009196100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009794700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009792400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLIDAY RETIREMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey E Hoffman, M.D.
• Rachel E Hogan, DMD
• Matt James Hoidal, D.D.S., M.S.
• Amy Holbrook, LCSW
• Sarah Holder
• David Holloway, LMT
• Holly Shumway Counseling
• Alissa Holmes, LCSW
• Holobeing Health and Wellness, LLC
• John Holt, DMD

• Assisted Living Facility in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.