Pioneer Guest Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PIONEER GUEST HOME

Practice address

101 E Main St
Box 326
Enterprise, OR 97828-1381

Phone

(541) 426-4222

Fax

(541) 426-6550

NPI assigned

Nov 26, 2008

Last updated

Nov 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randall Perry Roddey, MSGT/ USMC RETIRED

Title

Licensed Administrator

Phone

(541) 426-4222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Currin, RN

  • Case Manager/Care Coordinator
  • Enterprise, OR
  • NPI 1639833205
  NPD (past)

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": "1982859393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "P.O. BOX 326",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281381",
            "telephone_number": "541-426-4222",
            "fax_number": "541-426-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "address_2": "BOX 326",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281381",
            "telephone_number": "541-426-4222",
            "fax_number": "541-426-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER GUEST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "RODDEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "LICENSED ADMINISTRATOR",
        "authorized_official_telephone_number": "541-426-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSGT/ USMC RETIRED"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Parker, QMHA
• Kindra Dawn Peterson, QMHA
• Sarah Georgine Peterson, DNP,ARNP,FNP-C
• Joseph Raymond Pierri, DMD
• Makaila Jane Pinkerton
• Pioneer Guest Home II, Inc
• Elizabeth Carol Powers, M.D.
• Mari Elena Prieto
• Providence Health & Services - Washington (Providence Sponake Heart Institute)
• Tosca Rawls

• Mental Illness Community Based Residential Treatment Facility in Enterprise, OR
• Providers in Enterprise, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• 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.