Blue Diamond Estates

LBN: Blue Diamond Estates
Blue Diamond Estates is an health care organization with primary practice located at 87326 Mctimmons Ln , Bandon OR 97411-8285. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Blue Diamond Estates can be contacted via phone (541) 217-4006, or through Johnson, Mary via phone (541) 751-5040.

Contact Information

Primary practice address
87326 Mctimmons Ln Bandon OR 97411-8285
Phone: (541) 217-4006
Fax: (541) 347-7555
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mary
Phone: (541) 751-5040

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1962090951
LBN Legal business name Blue Diamond Estates
DBA Doing business as
Authorized official Johnson, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2021
Last updated Jan 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962090951 NPPES
Oregon MEDICAID 527511

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