Basic Information
| Provider Information | |||||||||
| NPI: | 1053368100 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE NEXT DOOR, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 965 TUCKER RD | ||||||||
| Address2: | |||||||||
| City: | HOOD RIVER | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413866665 | ||||||||
| FaxNumber: | 5413865440 | ||||||||
| Practice Location | |||||||||
| Address1: | 965 TUCKER RD | ||||||||
| Address2: | |||||||||
| City: | HOOD RIVER | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5413866665 | ||||||||
| FaxNumber: | 5413865440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2006 | ||||||||
| LastUpdateDate: | 03/28/2022 | ||||||||
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| AuthorizedOfficialLastName: | HAMADA | ||||||||
| AuthorizedOfficialFirstName: | JANET | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5414360301 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MSW | ||||||||
| NPICertificationDate: | 03/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0405X | N | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | 322D00000X | 37-050 | OR | N | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | 323P00000X | N | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | 251S00000X | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 500764580 | 05 | OR | MEDICAID | 500662721 | 05 | OR | MEDICAID | 025663 | 05 | OR | MEDICAID |