OrganizationActive
Assisted Living Concepts Inc
NPI 1124215413 · Assisted Living Facility · Sutherlin, OR
Provider details
- NPI number
- 1124215413
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Levonowich, Vice President Controller(262) 257-8888
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1465 East Central
Sutherlin, OR 97479
Phone: (541) 459-7505
Fax: (541) 459-8619
Approximate (ZIP-level) locationGet directions
Mailing address
W140 N8981 Lilly Road
Menomonee Falls, WI 53051-2325
Other names (DBA / former)
- Doing business as
- Douglas House
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2007-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.