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Active NPI 1548387335 Organization (Entity Type 2)

Eagle Cove

Assisted Living Facility • Eagle Point, OR

About Eagle Cove NPI 1548387335 Summary

Eagle Cove is a verified healthcare organization specializing in Assisted Living Facility operating in Eagle Point, OR. Located at 261 LOTO ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1548387335.

Administrative operations and authorized compliance are overseen by Jon Harder (Manager).

Facility Location & Contact Primary Location

Facility Address

261 Loto St

Eagle Point, OR 975249518

Telephone 5418300355

Authorized Official Information

Authorized Contact Name

Jon Harder

Title / Role

Manager

Official Telephone

5034858691

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 261 LOTO ST, EAGLE POINT, OR 975249518 (Tel: 5418300355)

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Updated Business Mailing Address July 08, 2007

Registered at 3723 FAIRVIEW INDUSTRIAL DR SE STE 270, SALEM, OR 973024975 (Tel: 5034854600)

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Organization / Clinic Name Updated July 08, 2007

Operating as EAGLE COVE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Assisted Living Facility

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Initial NPI Registration & Enumeration March 25, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1548387335
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 25, 2007
Last Update: August 22, 2020

Mailing Address

3723 Fairview Industrial Dr Se Ste 270

Salem, OR 973024975

Phone: 5034854600

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.