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PACIFIC LIVING CENTERS SOUTH, LLC
NPI 1700530987
Assisted Living Facility - Assisted Living, Mental Illness in Grants Pass, OR

Active since February 07, 2022
1635 KELLENBECK AVE, GRANTS PASS, OR 97527(541) 474-6493 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Living Centers South, Llc NPPES

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

PACIFIC LIVING CENTERS SOUTH, LLC (NPI 1700530987), doing business as Applegate House Of Grants Pass, is a healthcare organization registered as an assisted living, mental illness in Grants Pass, Oregon and active in the NPI registry since February 2022. The organization maintains 3 additional practice locations and lists Carl Mason, Coo, as its authorized official.

NPPES Registry Identity

NPI1700530987
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NamePACIFIC LIVING CENTERS SOUTH, LLC
Location Address1635 KELLENBECK AVEGrants Pass, OR 97527-4247
Mailing Address25260 Sw Parkway Ave Ste BWilsonville, OR 97070-6627 · (503) 826-5190
Phone(541) 474-6493
Organization SubpartNo
Authorized OfficialCarl MasonCoo · (503) 826-5190
Enumeration DateFebruary 7, 2022
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1700530987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
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.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
1635 KELLENBECK AVE, Grants Pass, OR 97527
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Other Names 4

Doing Business AsApplegate House Of Grants Pass
Doing Business AsArbor House Of Grants Pass
Doing Business AsAutumn House Of Grants Pass
Doing Business AsBartlett House Of Medford

Secondary Practice Locations 3

Location 12268 Williams HwyGrants Pass, OR 97527-5670 · Phone (541) 474-6399
Location 23465 Lone Pine RdMedford, OR 97504-5681 · Phone (541) 245-9814
Location 3820 Gold CtGrants Pass, OR 97527-4786 · Phone (541) 474-7887

Other Identifiers 4

Other8850499803OR · Dhs Apd
Other3246694719OR · Dhs Apd
Other5482307390OR · Dhs Apd
Other7715251304OR · Dhs Apd

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 Pacific Living Centers South, LLC's NPI number?

The NPI number for Pacific Living Centers South, LLC is 1700530987. It was assigned to this organization in the NPPES registry on February 7, 2022. The provider is doing business as Applegate House of Grants Pass, Arbor House of Grants Pass, Autumn House of Grants Pass and Bartlett House of Medford.

Where is Pacific Living Centers South, LLC located?

Pacific Living Centers South, LLC is located at 1635 Kellenbeck Ave, Grants Pass, OR 97527. The listed phone number is (541) 474-6493.

What is Pacific Living Centers South, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Pacific Living Centers South, LLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.