Pacific Gardens Estates Llc in Tigard - Skilled Nursing Facility

Pacific Gardens Estates Llc - NPI 1154382539

Pacific Gardens Estates Llc is a Skilled Nursing Facility in Tigard, Oregon. Pacific Gardens Estates Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pacific Gardens Estates Llc is 1154382539. The last update date is 2020-08-22.

Pacific Gardens Estates Llc's current location address is 14145 Sw 105th Ave, Tigard, Oregon. You can contact this provider via phone number 5036391144 and fax number 5036207201. The mailing address for Pacific Gardens Estates Llc is 14145 Sw 105th Ave, Tigard, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pacific Gardens Estates Llc
Address 14145 Sw 105th Ave, Tigard, Oregon
Phone Number 5036391144
Fax Number 5036207201
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Emry M. Kent
Credentials BHA, NHA
Telephone Number 5035850200

NPI Number Detail

NPI Number 1154382539
Provider Enumeration Date 2006-03-28
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 14145 Sw 105th Ave
City Tigard
State Oregon (OR)
Post Code 972244808
Phone Number 5036391144
Fax Number 5036207201

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38A030 OR --

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FAQs about Pacific Gardens Estates Llc

What is the Pacific Gardens Estates Llc's unique identification number?

The Pacific Gardens Estates Llc has been assigned the NPI (National Provider Identifier) Number 1154382539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Pacific Gardens Estates Llc?

The Pacific Gardens Estates Llc is situated at 14145 Sw 105Th Ave, in the city of Tigard, state of OR, with the zip code 972244808.

What is the Pacific Gardens Estates Llc's specialty and taxonomy code?

The Pacific Gardens Estates Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1154382539 to Pacific Gardens Estates Llc?

The Pacific Gardens Estates Llc received its 1154382539 assignment from the Centers for Medicare & Medicaid Services on 2006-03-28.

As of what date were the details related to Pacific Gardens Estates Llc most recently updated or revised?

The information pertaining to Pacific Gardens Estates Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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