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MEADOWLAND ADULT FOSTER HOME LLC
NPI 1508215252
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Tillamook, OR

Active since June 03, 2016
706 MEADOW AVE, TILLAMOOK, OR 97141(503) 354-2523(503) 354-5116 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meadowland Adult Foster Home Llc NPPES

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

MEADOWLAND ADULT FOSTER HOME LLC (NPI 1508215252) is a healthcare organization registered as an assisted living, behavioral disturbances in Tillamook, Oregon and active in the NPI registry since June 2016. The organization lists Sujay Kumar Nakka, Owner, as its authorized official.

NPPES Registry Identity

NPI1508215252
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NameMEADOWLAND ADULT FOSTER HOME LLC
Location Address706 MEADOW AVETillamook, OR 97141-2844
Mailing Address706 Meadow AveTillamook, OR 97141-2844 · (503) 354-2523 · Fax (503) 354-5116
Phone(503) 354-2523
Fax(503) 354-5116
Organization SubpartNo
Authorized OfficialSujay Kumar NakkaOwner · (503) 354-2523
Enumeration DateJune 3, 2016
Last NPPES UpdateJune 24, 2016
✔ NPI 1508215252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
License✔ Licensed in OR · 500697789
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
706 MEADOW AVE, Tillamook, OR 97141
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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.

CORY BAIRD
Case Manager/Care Coordinator
706 MEADOW AVE
TILLAMOOK, OR 97141
Tillamook County (503) 354-2523
SUJAY NAKKA
Case Manager/Care Coordinator
706 MEADOW AVE
TILLAMOOK, OR 97141
Tillamook County (503) 354-2523

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 Meadowland Adult Foster Home LLC's NPI number?

The NPI number for Meadowland Adult Foster Home LLC is 1508215252. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Meadowland Adult Foster Home LLC located?

Meadowland Adult Foster Home LLC is located at 706 Meadow Ave, Tillamook, OR 97141. The listed phone number is (503) 354-2523.

What is Meadowland Adult Foster Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Meadowland Adult Foster Home LLC was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.