OAK PARK ASSISTED LIVING COMMUNITY
NPI 1013120393
Point of Service in Salem, OR

Q: What is Roseburg Assisted Living LLC's NPI number?

The NPI number for Roseburg Assisted Living LLC is 1013120393. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Oak Park Assisted Living Community.

Q: What is Roseburg Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since May 07, 2007

3220 STATE ST, SUITE 200, SALEM, OR 97301(503) 566-5715 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Oak Park Assisted Living Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK PARK ASSISTED LIVING COMMUNITY (NPI 1013120393) is a healthcare organization registered as a point of service in Salem, Oregon and active in the NPI registry since May 2007. The organization lists Kelley D Hamilton, Ceo-pres Of Manager, as its authorized official.

NPPES Registry Identity

NPI1013120393

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameROSEBURG ASSISTED LIVING LLC

Location Address3220 STATE ST, SUITE 200Salem, OR 97301-6872

Mailing Address1400 Ne Rocky Ridge DrRoseburg, OR 97470-5673 · (541) 464-5656 · Fax (541) 677-7064

Phone(503) 566-5715

Organization SubpartNo

Authorized OfficialKelley D HamiltonCeo-pres Of Manager · (503) 566-5715

Enumeration DateMay 7, 2007

Last NPPES UpdateOctober 4, 2007

✔ NPI 1013120393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3220 STATE ST, Salem, OR 97301

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Other Names 1

Doing Business AsOak Park Assisted Living Community

Other Identifiers 1

Other647146-87OR · Registry #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC

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