Provider Demographics
NPI:1659404291
Name:PEOPLES RETIREMENT COMMUNITY, LLP
Entity Type:Organization
Organization Name:PEOPLES RETIREMENT COMMUNITY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-362-5235
Mailing Address - Street 1:3155 RIVER RD S STE 100
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-9819
Mailing Address - Country:US
Mailing Address - Phone:503-362-5235
Mailing Address - Fax:503-585-3267
Practice Address - Street 1:1800 E 67TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4245
Practice Address - Country:US
Practice Address - Phone:253-474-1741
Practice Address - Fax:253-473-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA835477Medicaid