Provider Demographics
NPI:1952991507
Name:BEND SENIOR CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:BEND SENIOR CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:SAXTON
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-782-8377
Mailing Address - Street 1:PO BOX 1487
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97709-1487
Mailing Address - Country:US
Mailing Address - Phone:541-782-8377
Mailing Address - Fax:541-833-6416
Practice Address - Street 1:19795 VILLAGE OFFICE CT
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1922
Practice Address - Country:US
Practice Address - Phone:541-782-8377
Practice Address - Fax:541-833-6416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty