NPIMap

Organization Active NPI

Pendleton House

  • Mental Illness Community Based Residential Treatment Facility
  • Pendleton, OR
National Provider Identifier
1972758373
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PENDLETON HOUSE
Practice address
2585 Westgate
Pendleton, OR 97801-9613
Phone
(541) 276-2246
Fax
(541) 276-1989
NPI assigned
Nov 26, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
DHS,OFFICE OF FINANCIAL SERVICES,DIRECTOR'S OFFICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Ms. Jenny Peters
Title
Program Manager
Phone
(541) 276-2246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

2585 Westgate
Pendleton, OR 97801-9613

Mailing address

2585 Westgate
Pendleton, OR 97801-9613
Phone (541) 276-2246

National Provider Directory

National Provider Directory
Tax ID family
Oregon State Hospital6 organizations share this tax ID, including this one
Part of
Oregon Department of Human Services Resilience and Emergency MGT

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2585 Westgate
Pendleton, OR 97801
Phone (541) 276-2246

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1972758373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 WESTGATE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019613",
            "telephone_number": "541-276-2246",
            "fax_number": "541-276-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 WESTGATE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978019613",
            "telephone_number": "541-276-2246",
            "fax_number": "541-276-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHS,OFFICE OF FINANCIAL SERVICES,DIRECTOR'S OFFICE",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "541-276-2246",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.