CLAIR'S II ADULT FOSTER HOME LLC
NPI 1073150074
Custodial Care Facility - Adult Care Home in Coos Bay, OR

Q: What is Clair's II Adult Foster Home LLC's NPI number?

The NPI number for Clair's II Adult Foster Home LLC is 1073150074. It was assigned to this organization in the NPPES registry on December 9, 2019. The provider is also known as Clair's Two Adult Foster Care.

Q: What is Clair's II Adult Foster Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since December 09, 2019

63249 EVEREST RD, COOS BAY, OR 97420(541) 269-7955(541) 269-7955 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Clair's Ii Adult Foster Home Llc NPPES

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

CLAIR'S II ADULT FOSTER HOME LLC (NPI 1073150074) is a healthcare organization registered as an adult care home in Coos Bay, Oregon and active in the NPI registry since December 2019. The organization lists Timothy James Boysun, Ppo, as its authorized official.

NPPES Registry Identity

NPI1073150074

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameCLAIR'S II ADULT FOSTER HOME LLC

Location Address63249 EVEREST RDCoos Bay, OR 97420-7238

Mailing Address63249 Everest RdCoos Bay, OR 97420-7238 · (541) 269-7955 · Fax (541) 269-7955

Phone(541) 269-7955

Fax(541) 269-7955

Organization SubpartNo

Authorized OfficialTimothy James BoysunPpo · (541) 269-7955

Enumeration DateDecember 9, 2019

✔ NPI 1073150074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedHome Health AideTaxonomy 374U00000X

Also ListedNurse's AideTaxonomy 376K00000X

Also ListedRespite CareTaxonomy 385H00000X

Also ListedPrevention ProfessionalTaxonomy 405300000X

63249 EVEREST RD, Coos Bay, OR 97420

Open in Google Maps ↗

Other Names 1

Other NameClair's Two Adult Foster Care

Other Identifiers 2

Other525988OR · State Of Oregon

Medicaid500697484OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clair's II Adult Foster Home LLC's NPI number?

The NPI number for Clair's II Adult Foster Home LLC is 1073150074. It was assigned to this organization in the NPPES registry on December 9, 2019. The provider is also known as Clair's Two Adult Foster Care.

Where is Clair's II Adult Foster Home LLC located?

Clair's II Adult Foster Home LLC is located at 63249 Everest Rd, Coos Bay, OR 97420. The listed phone number is (541) 269-7955.

What is Clair's II Adult Foster Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Clair's II Adult Foster Home LLC was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.