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PIONEER GUEST HOME II, INC
NPI 1235577115
Community Based Residential Treatment Facility, Mental Illness in Enterprise, OR

Active since June 12, 2013CLIA 38D2118593 · Waiver
101 E MAIN ST, ENTERPRISE, OR 97828(541) 426-4222(541) 426-6550 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pioneer Guest Home Ii, Inc NPPES

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

PIONEER GUEST HOME II, INC (NPI 1235577115) is a healthcare organization registered as a community based residential treatment facility, mental illness in Enterprise, Oregon and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Randall Perry Roddey, Licensed Administrator, as its authorized official.

NPPES Registry Identity

NPI1235577115
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePIONEER GUEST HOME II, INC
Location Address101 E MAIN STEnterprise, OR 97828-1381
Mailing AddressPo Box 326Enterprise, OR 97828-0326 · (541) 426-4222 · Fax (541) 426-6550
Phone(541) 426-4222
Fax(541) 426-6550
Organization SubpartNo
Authorized OfficialRandall Perry RoddeyLicensed Administrator · (541) 263-0897
Enumeration DateJune 12, 2013
✔ NPI 1235577115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in OR · 300024
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
101 E MAIN ST, Enterprise, OR 97828
Open in Google Maps ↗

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 38D2118593

Pioneer Guest Home · Enterprise, OR
Active · expires Sep 11, 2026
CLIA Number38D2118593
Laboratory TypeResidential Treatmnt
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorRanzie Barney
Laboratory Phone(541) 426-4524
Laboratory LocationPioneer Guest Home101 E Main Street, Enterprise, OR 97828
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KRISTIN CURRIN RN
Case Manager/Care Coordinator
101 E MAIN ST
ENTERPRISE, OR 97828
Wallowa County (541) 426-4222
PIONEER GUEST HOME
Community Based Residential Treatment Facility, Mental Illness
101 E MAIN ST, BOX 326
ENTERPRISE, OR 97828
Wallowa County (541) 426-4222

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 Pioneer Guest Home II, Inc's NPI number?

The NPI number for Pioneer Guest Home II, Inc is 1235577115. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is Pioneer Guest Home II, Inc located?

Pioneer Guest Home II, Inc is located at 101 E Main St, Enterprise, OR 97828. The listed phone number is (541) 426-4222.

What is Pioneer Guest Home II, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Pioneer Guest Home II, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2118593) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pioneer Guest Home II, Inc was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.