Senior Haven LLC
Assisted Living Facility

Address: 12140 Se Foster Rd, Portland, OR 97266-4043
Phone: 9712718975

Senior Haven LLC (NPI# 1700408010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700408010
Entity Type Organization
Organization Name SENIOR HAVEN LLC
Practice Address 12140 Se Foster Rd
Portland
OR 97266-4043
Practice Telephone 9712718975
Mailing Address Po Box 1410
Bend
OR 97709-1410
Mailing Telephone 5413179188
Mailing Fax Number 5413893710
Authorized Official Name Robert Austin Evans (MANAGING MEMBER)
Authorized Official Telephone 5413179188
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-08
Last Update Date 2020-05-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
OR 164402 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Senior Haven RCF Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508407016 Blandina Chitalah Assisted Living Facility 342 Woodford St Unit 1, Portland, ME 04103-5608 2019-10-05
1962058024 Bright Lantern Home Care Assisted Living Facility 14 Powsland St Apt 2, Portland, ME 04102-2622 2019-08-14
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1164845921 Russellville IIi LLC Assisted Living Facility 23 Se 103rd Ave, Portland, OR 97216 2014-01-30
1215368840 The Meadows At Halltown, Inc. Assisted Living Facility 711 Halltown Rd, Portland, TN 37148-9071 2013-12-08
1811219397 Richland Place Senior Living Assisted Living Facility 201 Richland Lake Dr, Portland, TN 37148-1775 2010-02-24
1477881951 Fallbrook Residential Care Facility, Inc. Assisted Living Facility 418 Ray St, Portland, ME 04103-3934 2009-11-23
1538387147 Carriage Inn Limited Partnership Assisted Living Facility 401 Northshore Blvd, Portland, TX 78374-3800 2007-04-22
1770603771 Lesser-capital LLC Assisted Living Facility 11552 Lesser Rd, Portland, OR 97219-7164 2007-03-31
1588784581 Park Place Assisted Living Facility 8445 Sw Hemlock St, Portland, OR 97223-8870 2007-03-31
Find all providers in PORTLAND

Office Location

Street Address 12140 SE FOSTER RD
City PORTLAND
State OR
Zip Code 97266-4043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
1659777886 Berhanu Aynalem Mekbib Adult Companion 9125 Sw 55th, El Dorado, Portland, OR 97266 2014-11-17
1871930685 Felicitas Amelia Penaloza Behavior Analyst 9911 Se Mt.scott Boulevard, Portland, OR 97266 2013-06-03
1710237326 Janna Renee Higgins Case Manager/Care Coordinator 9911 Se Mt. Scott Boulevard, Portland, OR 97266 2012-09-12
Find all providers in zip 97266

Competitor

Search similar providers

City PORTLAND
Zip Code 97266

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.