OrganizationActive
Nibbus Combined Care LLC
NPI 1215700950 · Mental Illness Community Based Residential Treatment Facility · Medford, OR
Provider details
- NPI number
- 1215700950
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Nibbus Combined Care LLC
- Organization subpart
- Yes
- Authorized official
- Brenda Watson, Owner(458) 225-9993
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1481 Kings Hwy
Medford, OR 97501-4010
Phone: (541) 254-0630
Street-level locationGet directions
Mailing address
1175 E Main St Ste 2f
Medford, OR 97504-7457
Other names (DBA / former)
- Doing business as
- Sunrise Garden Rth
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.