JEFFERSON MANOR
NPI 1669633707
Alzheimer Center (Dementia Center) in Dallas, OR

Q: What is Jefferson Manor Residential Care, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since June 20, 2008

664 SE JEFFERSON ST, DALLAS, OR 97338(503) 623-8104(503) 623-0772 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jefferson Manor NPPES

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

JEFFERSON MANOR (NPI 1669633707) is a healthcare organization registered as an alzheimer center (dementia center) in Dallas, Oregon and active in the NPI registry since June 2008. The organization lists Elizabeth Marie Moss, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1669633707

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameJEFFERSON MANOR RESIDENTIAL CARE, LLC

Location Address664 SE JEFFERSON STDallas, OR 97338-2024

Mailing Address200 Hawthorne Ave Se Ste A140Salem, OR 97301-5092 · (503) 588-2725 · Fax (503) 588-8653

Phone(503) 623-8104

Fax(503) 623-0772

Organization SubpartNo

Authorized OfficialElizabeth Marie MossDirector Of Risk Management · (503) 588-2725

Enumeration DateJune 20, 2008

✔ NPI 1669633707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in OR · 1087658107

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

664 SE JEFFERSON ST, Dallas, OR 97338

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Other Names 1

Doing Business AsJefferson Manor

Other Identifiers 1

Medicaid515448OR

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 Jefferson Manor Residential Care, LLC's NPI number?

The NPI number for Jefferson Manor Residential Care, LLC is 1669633707. It was assigned to this organization in the NPPES registry on June 20, 2008. The provider is doing business as Jefferson Manor.

Where is Jefferson Manor Residential Care, LLC located?

Jefferson Manor Residential Care, LLC is located at 664 SE Jefferson St, Dallas, OR 97338. The listed phone number is (503) 623-8104.

What is Jefferson Manor Residential Care, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Jefferson Manor Residential Care, LLC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.