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AVALON HEALTH CARE - ROSE HAVEN LLC NPI 1952850760


NPI Information

NPI: 1952850760
Provider Name: AVALON HEALTH CARE - ROSE HAVEN, LLC

Doing Business As: ROSE HAVEN NURSING CENTER

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
740 NW HILL AVE
ROSEBURG, OR
ZIP 97471
Phone: (801) 596-8844
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AVALON HEALTH CARE - ROSE HAVEN, LLC is a geriatric medicine internal medicine in Roseburg, OR. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. AVALON HEALTH CARE - ROSE HAVEN, LLC NPI is 1952850760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rose Haven Nursing Center.

The provider's business location address is:

740 NW HILL AVE
ROSEBURG, OR
ZIP 97471-672
Phone: (801) 596-8844

The provider's authorized official is Faye Lincoln .
The authorized official title is Svp Government Relations and has the following contact phone number (801) 596-8844.

The enumeration date for this NPI number is 9/22/2016 and was last updated on 10/17/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2363LF0000XNurse PractitionerFamilyNo
3363LG0600XNurse PractitionerGerontologyNo
4207RG0300XInternal MedicineGeriatric MedicineYes

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: 5/5/2024

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