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HARBOR CARE CORPORATION NPI 1629008651


NPI Information

NPI: 1629008651
Provider Name: HARBOR CARE CORPORATION

Doing Business As: HARBOR CARE REEDWOOD

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
3540 SE FRANCIS ST
PORTLAND, OR
ZIP 97202
Phone: (503) 232-5767
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HARBOR CARE CORPORATION is a nursing facility intermediate care facility in Portland, OR. The provider is 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HARBOR CARE CORPORATION NPI is 1629008651. The provider is registered as an organization entity type.
The provider Is Doing Business As Harbor Care Reedwood.

The provider's business location address is:

3540 SE FRANCIS ST
PORTLAND, OR
ZIP 97202-350
Phone: (503) 232-5767
Fax: (503) 234-4162

The provider's authorized official is Marcus Lester .
The authorized official title is Ceo and has the following contact phone number (503) 232-5767.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 12/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility800091OREGONNo
2313M00000XNursing Facility/Intermediate Care Facility800091OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1385055MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE PROVIDER
2800091MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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