OrganizationActive
Bonaventure Place Retirement & Assisted Living Community LLC
NPI 1063600062 · Exclusive Provider Organization · Salem, OR
Provider details
- NPI number
- 1063600062
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kelley Hamilton, Ceo and President of Manager(503) 566-5715
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3220 State St
Suite 200
Salem, OR 97301-6872
Phone: (503) 566-5715
Fax: (503) 588-3531
Street-level locationGet directions
Mailing address
5850 N Five Mile Rd
Boise, ID 83713-5259
Other names (DBA / former)
- Doing business as
- Bonaventure Retirement & Assisted Living Community
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.