PACIFIC LIVING CENTERS SOUTH, LLC
NPI 1700530987
Assisted Living Facility - Assisted Living, Mental Illness in Grants Pass, OR
NPI Status: Active since February 07, 2022
Contact Information
1635 KELLENBECK AVE
GRANTS PASS, OR
ZIP 97527
Phone: (541) 474-6493
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About PACIFIC LIVING CENTERS SOUTH, LLC
This page provides the complete NPI Profile along with additional information for Pacific Living Centers South, Llc, a provider established in Grants Pass, Oregon operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1700530987 assigned on February 2022. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1700530987
- Provider Legal Name
- PACIFIC LIVING CENTERS SOUTH, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1635 KELLENBECK AVE GRANTS PASS, OR 97527
- Location Phone
- (541) 474-6493
- Mailing Address
- 25260 SW PARKWAY AVE STE B WILSONVILLE, OR 97070
- Mailing Phone
- (503) 826-5190
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2022
- Last Update Date
- 04-16-2025
- Code Navigator
Location Map
Secondary Locations
- 820 Gold Ct
Grants Pass, OR 97527
(541) 474-7887 - 2268 Williams Hwy
Grants Pass, OR 97527
(541) 474-6399 - 3465 Lone Pine Rd
Medford, OR 97504
(541) 245-9814
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8850499803 | OTHER (01) | OR | DHS APD |
| 3246694719 | OTHER (01) | OR | DHS APD |
| 5482307390 | OTHER (01) | OR | DHS APD |
| 7715251304 | OTHER (01) | OR | DHS APD |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1700530987, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700530987, enumerated as an "organization" on February 07, 2022.
The provider is located at 1635 KELLENBECK AVE GRANTS PASS, OR 97527 and the phone number is (541) 474-6493.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
