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ROSE VILLA INC. NPI 1679819411


NPI Information

NPI: 1679819411
Provider Name: ROSE VILLA, INC.

Doing Business As: ROSE VILLA SENIOR LIVING

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 38D0907174

Address:
13505 SE RIVER RD
PORTLAND, OR
ZIP 97222
Phone: (503) 654-3171
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ROSE VILLA, INC. 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. ROSE VILLA, INC. NPI is 1679819411. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose Villa Senior Living.

The provider's business location address is:

13505 SE RIVER RD
PORTLAND, OR
ZIP 97222-038
Phone: (503) 654-3171

The provider's authorized official is Erin Cornell .
The authorized official title is Director Of Health Services and has the following contact phone number (503) 652-3282.

The CLIA number assigned to this NPI record is 38D0907174 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 12/26/2012.


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
1313M00000XNursing Facility/Intermediate Care Facility1352498888OREGONYes

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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