Conifer House Operating Company, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CONIFER HOUSE OPERATING COMPANY, LLC

Practice address

145 NE Conifer Blvd
Corvallis, OR 97330-4105

Phone

(541) 757-2444

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Teresa Waldroff

Title

Manager

Phone

(503) 344-6065

Specialties & licenses 1

Addresses

Other names 1

• Conifer House Residential Care & Memory Care Doing business as

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1992321319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 475",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684248",
            "telephone_number": "503-344-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NE CONIFER BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304105",
            "telephone_number": "541-757-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER HOUSE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "WALDROFF",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-344-6065"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conifer House Residential Care & Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devan Compton
• Conatus Marriage and Family Counseling Center
• Megan LM Conca
• Harumy Alondra Concepcion
• Sabri Conde-Yassin
• Conifer Nursing Center LLC
• Conifer Wellness, Inc.
• Theresa Renee Conlin, OTD, OTR/L
• Nicole Connelly, CADC1 QMHA-R
• Reno Connelly, BS

• Assisted Living Facility in Corvallis, OR
• Providers in Corvallis, 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 Jun 22, 2020; 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.