1851192405 NPI number — ARCADIA SENIOR HOUSING LLC

Table of content: DANNIELLE MARIE HANCOCK LMP (NPI 1326482548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851192405 NPI number — ARCADIA SENIOR HOUSING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARCADIA SENIOR HOUSING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851192405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13031 SE FOSTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97236-4704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-608-1523
Provider Business Mailing Address Fax Number:
360-608-1523

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13031 SE FOSTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-608-1523
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THWAITE
Authorized Official First Name:
TAMMY
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
360-608-1523

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)