Clair'S Ii Adult Foster Home Llc

LBN: Clair'S Ii Adult Foster Home Llc
Clair'S Ii Adult Foster Home Llc is an health care organization with primary practice located at 63249 Everest Rd , Coos Bay OR 97420-7238. The organization recently has 5 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Respite Care Facility / Respite Care, Other Service Providers / Prevention Professional. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Clair'S Ii Adult Foster Home Llc can be contacted via phone (541) 269-7955, or through Boysun, Timothy James via phone (541) 269-7955.

Contact Information

Primary practice address
63249 Everest Rd Coos Bay OR 97420-7238
Phone: (541) 269-7955
Fax: (541) 269-7955
Website:
Map and Directions
Authorized official contact:
Name: Boysun, Timothy James
Phone: (541) 269-7955

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X
Respite Care Facility / Respite Care 385H00000X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1073150074
LBN Legal business name Clair'S Ii Adult Foster Home Llc
DBA Doing business as
Authorized official Boysun, Timothy James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2019
Last updated Dec 9th, 2019 - about 6 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 1073150074 NPPES
Oregon MEDICAID 500697484
Oregon Other 525988

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