OrganizationActive
Elderhealth & Living
NPI 1912258443 · Mental Illness Community Based Residential Treatment Facility · Springfield, OR
Provider details
- NPI number
- 1912258443
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nancy Koll, Cfo(541) 747-4858
- License
- 516389 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
382 S 58th St
Springfield, OR 97478-7623
Phone: (541) 747-4858
Fax: (541) 747-8314
Street-level locationGet directions
Mailing address
382 S 58th St
Springfield, OR 97478-7623
Other names (DBA / former)
- Doing business as
- Summit South
Registry dates
- Enumerated
- 2012-09-24
- Last updated
- 2012-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.