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EAGLE LAKE VILLAGE
NPI 1972725000
Assisted Living Facility in Susanville, CA

Active since May 02, 2007
2001 PAUL BUNYAN ROAD, SUSANVILLE, CA 96130(530) 257-6673 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagle Lake Village NPPES

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

EAGLE LAKE VILLAGE (NPI 1972725000) is a healthcare organization registered as an assisted living facility in Susanville, California and active in the NPI registry since May 2007. The organization lists Jon Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1972725000
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSUSANVILLE LIMITED PARTNERSHIP
Location Address2001 PAUL BUNYAN ROADSusanville, CA 96130
Mailing Address3723 Fairview Industrial Dr Se, Suite 270Salem, OR 97302 · (503) 485-4600
Phone(530) 257-6673
Organization SubpartNo
Authorized OfficialJon HarderManager · (503) 485-4600
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972725000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
2001 PAUL BUNYAN ROAD, Susanville, CA 96130
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Other Names 1

Doing Business AsEagle Lake Village

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 Susanville Limited Partnership's NPI number?

The NPI number for Susanville Limited Partnership is 1972725000. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is doing business as Eagle Lake Village.

Where is Susanville Limited Partnership located?

Susanville Limited Partnership is located at 2001 Paul Bunyan Road, Susanville, CA 96130. The listed phone number is (530) 257-6673.

What is Susanville Limited Partnership'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 Susanville Limited Partnership was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.