| Organization Name: | HARTFORD HOME |
| NPI Number: | 1285044636 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAIOLANI B CALIP (MANAGER/ADMINISTRATOR/COORDINATOR) |
| Mailing Address: | 294 Whitman St S Monmouth |
| State: | OR US |
| Postal Code: | 973612035 |
| Phone Number: | 5038382114 |
| Fax Number: | 5038370683 |
| NPI Enumeration Date: | 05/06/2014 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3104A0625X |
| License Number: | 519091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | Assisted Living, Mental Illness |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |