ELDERLY AND DISABLED SERVICES
NPI 1336889211
Community Based Residential Treatment Facility, Mental Illness in Medford, OR

Active since March 30, 2022
3126 STATE ST STE 100, MEDFORD, OR 97504(458) 225-9358 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2024, Apr 4, 2022 (2 updates tracked since 2022).

About Elderly And Disabled Services NPPES

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

ELDERLY AND DISABLED SERVICES (NPI 1336889211) is a healthcare organization registered as a community based residential treatment facility, mental illness in Medford, Oregon and active in the NPI registry since March 2022. The organization maintains 2 additional practice locations and lists Larry Michael Mcphee, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1336889211
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameELDERLY AND DISABLED SERVICES
Location Address3126 STATE ST STE 100Medford, OR 97504-8665
Mailing Address4439 Hamrick RdCentral Point, OR 97502-2816 · (541) 261-1991 · Fax (541) 631-3424
Organization SubpartNo
Authorized OfficialLarry Michael McpheeProvider/owner · (541) 261-1991
Enumeration DateMarch 30, 2022
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
NPI 1336889211 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
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3126 STATE ST STE 100, Medford, OR 97504

Secondary Practice Locations 2

Location 1248 Mace RdMedford, OR 97501-1280 · Phone (541) 261-1991 · Fax (541) 631-3424
Location 24439 Hamrick RdCentral Point, OR 97502-2816 · Phone (541) 261-1991 · Fax (541) 631-3424

Other Identifiers 2

Medicaid500788139OR
Medicaid500791695OR

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 Elderly And Disabled Services's NPI number?

The NPI number for Elderly And Disabled Services is 1336889211. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Elderly And Disabled Services located?

Elderly And Disabled Services is located at 3126 State St Ste 100, Medford, OR 97504. The listed phone number is (458) 225-9358.

What is Elderly And Disabled Services's specialty?

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

When was this NPI record last updated?

The NPPES record for Elderly And Disabled Services was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.