Laurelhurst Village Llc in Portland - Nursing Facility/intermediate Care Facility
Laurelhurst Village Llc - NPI 1346288362
Laurelhurst Village Llc is a Nursing Facility/intermediate Care Facility in Portland, Oregon. Laurelhurst Village Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Laurelhurst Village Llc is 1346288362. The last update date is 2020-08-22.
Laurelhurst Village Llc's current location address is 3060 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5035354700 and fax number 5037976702. The mailing address for Laurelhurst Village Llc is 3060 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Laurelhurst Village Llc |
|---|---|
| Address | 3060 Se Stark St, Portland, Oregon |
| Phone Number | 5035354700 |
| Fax Number | 5037976702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Waloroff Lee Teresa |
| Credentials | RN MS |
| Telephone Number | 5035952810 |
NPI Number Detail
| NPI Number | 1346288362 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3060 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972143053 |
| Phone Number | 5035354700 |
| Fax Number | 5037976702 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800093 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Laurelhurst Village Llc?
The Laurelhurst Village Llc has been issued the NPI (National Provider Identifier) 1346288362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Laurelhurst Village Llc's facilities are geographically located?
The facilities of Laurelhurst Village Llc are physically situated at the following location: 3060 Se Stark St, Portland, OR, 972143053.
What is Laurelhurst Village Llc's area of expertise and its corresponding taxonomy classification?
The Laurelhurst Village Llc's field of specialization is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1346288362 to Laurelhurst Village Llc?
The Laurelhurst Village Llc received its 1346288362 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the Laurelhurst Village Llc's information last updated?
The Laurelhurst Village Llc's information was last updated on 2020-08-22.
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