Peaceful Care House

LBN: Peaceful Care House
Peaceful Care House is an health care organization with primary practice located at 10254 Se Isaac Dr , Happy Valley OR 97086-7159. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Peaceful Care House can be contacted via phone (503) 760-4262, or through Bodale, Estera via phone (503) 760-4262.

Contact Information

Primary practice address
10254 Se Isaac Dr Happy Valley OR 97086-7159
Phone: (503) 760-4262
Fax: (503) 762-2186
Website:
Map and Directions
Authorized official contact:
Name: Bodale, Estera
Phone: (503) 760-4262

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 0312-513850-0803-P Oregon
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 03125138500803P Oregon

Profile Details

NPI number 1033340096
LBN Legal business name Peaceful Care House
DBA Doing business as
Authorized official Bodale, Estera
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2009
Last updated Aug 6th, 2009 - about 16 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 1033340096 NPPES
Oregon MEDICAID 513850

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