St. Jude Operating Company, Llc in Portland - Nursing Facility/intermediate Care Facility
St. Jude Operating Company, Llc - NPI 1205053600
St. Jude Operating Company, Llc is a Nursing Facility/intermediate Care Facility in Portland, Oregon. St. Jude Operating Company, Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for St. Jude Operating Company, Llc is 1205053600. The last update date is 2015-12-15.
St. Jude Operating Company, Llc's current location address is 6003 Se 136th Ave, Portland, Oregon. You can contact this provider via phone number 5037611155 and fax number 5037611142. The mailing address for St. Jude Operating Company, Llc is 6003 Se 136th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | St. Jude Operating Company, Llc |
---|---|
Address | 6003 Se 136th Ave, Portland, Oregon |
Phone Number | 5037611155 |
Fax Number | 5037611142 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Balazs Melchor |
Telephone Number | 5105262230 |
NPI Number Detail
NPI Number | 1205053600 |
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Provider Enumeration Date | 2007-04-19 |
Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
Address | 6003 Se 136th Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972364567 |
Phone Number | 5037611155 |
Fax Number | 5037611142 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | 1026862561 |
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 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. Jude Operating Company, Llc by the Centers for Medicare & Medicaid Services?
The St. Jude Operating Company, Llc has been issued the NPI (National Provider Identifier) 1205053600, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where St. Jude Operating Company, Llc is physically located?
The St. Jude Operating Company, Llc is physically situated at the following address: 6003 Se 136Th Ave, Portland, OR, 972364567.
What is the area of specialization for St. Jude Operating Company, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St. Jude Operating Company, Llc is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.
On what date did the St. Jude Operating Company, Llc receive the assignment of its 1205053600 from the Centers for Medicare & Medicaid Services?
The St. Jude Operating Company, Llc was issued its 1205053600 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the St. Jude Operating Company, Llc's information last updated?
The St. Jude Operating Company, Llc's information was last updated on 2015-12-15.
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