Jefferson Manor Residential Care, LLC
NPI 1669633707 · Alzheimer Center (Dementia Center) · Dallas, OR
Jefferson Manor Residential Care, LLC is a Alzheimer Center (Dementia Center) organization in Dallas, OR (NPI 1669633707).
Provider details
- NPI number
- 1669633707
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Elizabeth Moss, Director of Risk Management(503) 588-2725
- License
- 1087658107 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Jefferson Manor
Registry dates
- Enumerated
- 2008-06-20
- Last updated
- 2008-06-20
Frequently asked questions
- What is Jefferson Manor Residential Care, LLC's NPI number?
- Jefferson Manor Residential Care, LLC's National Provider Identifier (NPI) is 1669633707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Manor Residential Care, LLC?
- Jefferson Manor Residential Care, LLC is classified in the NPPES registry as Alzheimer Center (Dementia Center) (Nursing & Custodial Care Facilities).
- Where is Jefferson Manor Residential Care, LLC located?
- Jefferson Manor Residential Care, LLC's practice location on file with NPPES is 664 Se Jefferson St, Dallas, OR 97338-2024.
- What is Jefferson Manor Residential Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Manor Residential Care, LLC is (503) 623-8104.
- Who is the authorized official for Jefferson Manor Residential Care, LLC?
- The authorized official listed on Jefferson Manor Residential Care, LLC's NPPES record is Elizabeth Moss, Director of Risk Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Manor Residential Care, LLC's NPI active?
- Yes — Jefferson Manor Residential Care, LLC's NPI (1669633707) is active in the NPPES registry as of the last update on 2008-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.