CARE CENTERS MANAGEMENT, INC. (NPI# 1003949496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003949496 |
| Entity Type | Organization |
| Organization Name | CARE CENTERS MANAGEMENT, INC. |
| Other Organization Name | MYRTLE POINT CARE CENTER |
| Practice Address |
637 Ash St Myrtle Point OR 97458-1133 |
| Mailing Address |
3155 River Rd S Ste 100 Salem OR 97302-9819 |
| Practice Telephone | 5415722066 |
| Practice Fax Number | 5415725477 |
| Mailing Telephone | 5033625235 |
| Mailing Fax Number | 5035853267 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JASON MCARTHUR (CFO) |
| Authorized Official Telephone | 5033625235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 0679037-8 | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 522974 | 05 |
| Other Name | Type Code |
|---|---|
| Myrtle Point Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477604924 | Care Centers Management, Inc. | Skilled Nursing Facility | 637 Ash St, Myrtle Point, OR 97458-1133 | 2007-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CARE CENTERS MANAGEMENT, INC. | 637 Ash St, Myrtle Point, OR 97458 |
| Street Address |
637 ASH ST |
| City | MYRTLE POINT |
| State | OR |
| Zip Code | 97458-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477604924 | Care Centers Management, Inc. | Skilled Nursing Facility | 637 Ash St, Myrtle Point, OR 97458-1133 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487748075 | County of Coos Myrtle Point School District 41 | Local Education Agency (LEA) | 413 C. Street, Myrtle Point, OR 97458 | 2006-10-03 |
| 1720407786 | Ana Marie Ferguson | Nurse Practitioner | 324 4th St, Myrtle Point, OR 97458 | 2014-04-07 |
| 1275542524 | City of Myrtle Point | Ambulance | 320 5th Street, Myrtle Point, OR 97458-1039 | 2006-08-05 |
| 1912135690 | David Yim Lee | Family Medicine | 324 4th St, Myrtle Point, OR 97458-1066 | 2009-07-01 |
| 1316921133 | John Calvin Counts | Family Medicine | 324 4th Street, Myrtle Point, OR 97458-1066 | 2005-12-05 |
| 1568918563 | Gabriela Anna Lombardi | Nurse Practitioner | 324 4th St, Myrtle Point, OR 97458-1066 | 2016-08-30 |
| 1083955199 | Allison Ehrlich | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2013-03-14 |
| 1689915753 | Jordan Ehrlich | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2013-03-13 |
| 1154626679 | Kaylie Marie Parrish | Physician Assistant | 324 4th St, Myrtle Point, OR 97458-1066 | 2011-01-13 |
| 1952385684 | Edmund Reed Gurney Jr. | Family Medicine | 324 4th Street, Myrtle Point, OR 97458-1066 | 2005-12-06 |
| Find all providers in zip 97458 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907317 | Laurel Pines Inc | Custodial Care Facility | 3100 Avenue A, White City, OR 97503-1715 | 2020-06-19 |
| 1093170367 | Brigitte Rocha | Custodial Care Facility | 2841 Friendly St, Eugene, OR 97405-2391 | 2015-12-30 |
| 1508170945 | Gentog, LLC | Custodial Care Facility | 11535 Sw Durham Rd, Suite C5, Tigard, OR 97224-3474 | 2010-07-27 |
| 1992897599 | Trinity Home Care LLC | Custodial Care Facility | 940 Sw Central Ave, Grants Pass, OR 97526-2755 | 2006-09-29 |
| 1437510922 | Oregon Dept. of Corrections | Custodial Care Facility | 2757 22nd St Se, Salem, OR 97302-1553 | 2016-03-11 |
| City | MYRTLE POINT |
| Zip Code | 97458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.