Bonaventure Retirement & Assisted Living Community
LBN: Bonaventure Place Retirement & Assisted Living Community Llc
Bonaventure Retirement & Assisted Living Community is an health care organization with primary practice located at 3220 State St Suite 200, Salem OR 97301-6872. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty.
Bonaventure Place Retirement & Assisted Living Community Llc can be contacted via phone (503) 566-5715, or through Hamilton, Kelley D via phone (503) 566-5715.
Contact Information
Primary practice address
3220 State St Suite 200
Salem OR 97301-6872
Phone: (503) 566-5715
Fax: (503) 588-3531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | Idaho |
Profile Details
| NPI number | 1063600062 |
|---|---|
| LBN Legal business name | Bonaventure Place Retirement & Assisted Living Community Llc |
| DBA Doing business as | Bonaventure Retirement & Assisted Living Community |
| Authorized official | Hamilton, Kelley D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Oct 4th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063600062 | NPPES |
| Idaho | Other | W55531 | CERTIFICATE # |
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