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LAKESIDE ASSISTED LIVING COMMUNITY
NPI 1689791485
Assisted Living Facility in Stayton, OR

Active since March 25, 2007
2201 3RD AVENUE, STAYTON, OR 97383(503) 769-3200 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Assisted Living Community NPPES

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

LAKESIDE ASSISTED LIVING COMMUNITY (NPI 1689791485) is a healthcare organization registered as an assisted living facility in Stayton, Oregon and active in the NPI registry since March 2007. The organization lists Jon M Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1689791485
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTAYTON SW ASSISTED LIVING LLC
Location Address2201 3RD AVENUEStayton, OR 97383-1388
Mailing AddressPo Box 3006Salem, OR 97302-0006 · (503) 375-9016 · Fax (503) 485-1279
Phone(503) 769-3200
Organization SubpartNo
Authorized OfficialJon M HarderManager · (503) 485-4600
Enumeration DateMarch 25, 2007
Last NPPES UpdateJuly 14, 2008
✔ NPI 1689791485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OR · 1769313990
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2201 3RD AVENUE, Stayton, OR 97383
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Other Names 1

Doing Business AsLakeside Assisted Living Community

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 Stayton SW Assisted Living LLC's NPI number?

The NPI number for Stayton SW Assisted Living LLC is 1689791485. It was assigned to this organization in the NPPES registry on March 25, 2007. The provider is doing business as Lakeside Assisted Living Community.

Where is Stayton SW Assisted Living LLC located?

Stayton SW Assisted Living LLC is located at 2201 3rd Avenue, Stayton, OR 97383. The listed phone number is (503) 769-3200.

What is Stayton SW Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Stayton SW Assisted Living LLC was last updated on July 14, 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.