Individual provider · Type 1 NPI
Aleksandr Bahmatov
Adult Care Home Facility · Milwaukie, OR
NPI number
1366277642
Active
Practice location
17821 SE Arista Dr
Milwaukie, OR 97267-6036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foster Care Agency | 253J00000X | None listed |
| Assisted Living Facility (Mental Illness) | 3104A0625X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Milwaukie
About NPI 1366277642
Aleksandr Bahmatov's National Provider Identifier is 1366277642, issued on Sep 5, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Milwaukie, OR. The record was last updated on Sep 5, 2024.