NEW FRIENDS OF COOS BAY, LLC
NPI 1083281034
Assisted Living Facility - Assisted Living, Mental Illness in Coos Bay, OR
About New Friends Of Coos Bay, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW FRIENDS OF COOS BAY, LLC (NPI 1083281034) is a healthcare organization registered as an assisted living, mental illness in Coos Bay, Oregon and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Carl Mason, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2252243
New Friends Of Coos Bay · Coos Bay, OROther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COOS BAY, OR 97420
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 New Friends Of Coos Bay, LLC's NPI number?
The NPI number for New Friends Of Coos Bay, LLC is 1083281034. It was assigned to this organization in the NPPES registry on June 8, 2021.
Where is New Friends Of Coos Bay, LLC located?
New Friends Of Coos Bay, LLC is located at 955 Kentucky Ave, Coos Bay, OR 97420. The listed phone number is (541) 808-9730.
What is New Friends Of Coos Bay, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does New Friends Of Coos Bay, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2252243) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for New Friends Of Coos Bay, LLC was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# New Friends Of Coos Bay, Llc · NPI 1083281034
Assisted Living, Mental Illness organization in Coos Bay, Oregon. Organization record, active in the CMS NPPES registry since June 8, 2021.
## Identity
- **NPI:** 1083281034 (Entity type: Organization)
- **Enumerated:** June 8, 2021
- **Primary specialty:** Assisted Living Facility - Assisted Living, Mental Illness · taxonomy 3104A0625X
- **Organization subpart:** No
- **Authorized official:** Carl Mason, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 955 KENTUCKY AVE, Coos Bay, OR 97420-6807
- **Phone:** (541) 808-9730
## Record status
- **NPPES last updated:** June 8, 2021
- **Other identifiers:** Medicaid 528759 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083281034) · Data from the CMS NPPES public registry.