RSL PORTLAND, LLC (NPI# 1134411531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134411531 |
| Entity Type | Organization |
| Organization Name | RSL PORTLAND, LLC |
| Other Organization Name | LAURELHURST VILLAGE REHABILITATION CENTER |
| Practice Address |
3060 Se Stark St Portland OR 97214-3053 |
| Mailing Address |
4640 Sw Macadam Ave Suite 90 Portland OR 97239-4256 |
| Practice Telephone | 5035354700 |
| Practice Fax Number | 5037976702 |
| Mailing Telephone | 5035952810 |
| Mailing Fax Number | 5035952818 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | JAMES GUFFEE (PRESIDENT OF RADIANT COMPANIES, INC) |
| Authorized Official Telephone | 5035952810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Laurelhurst Village Rehabilitation Center | Doing Business As Name - Organization |
| Street Address |
3060 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97214-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144272014 | David Harris | Physical Therapist | 3060 Se Stark St, Portland, OR 97214-3053 | 2006-05-17 |
| 1558929380 | Jessica Nguyen | Physical Therapist | 3060 Se Stark St, Portland, OR 97214-3053 | 2019-06-05 |
| 1700369642 | Rachael Anne Ritter | Physical Therapist | 3060 Se Stark St, Portland, OR 97214-3053 | 2018-09-06 |
| 1669966636 | Kristen Renee Ax | Occupational Therapy Assistant | 3060 Se Stark St, Portland, OR 97214-3053 | 2018-06-21 |
| 1114370830 | Katherine Manson | Occupational Therapy Assistant | 3060 Se Stark St, Portland, OR 97214-3053 | 2016-07-18 |
| 1942685714 | Crystal Rice | Occupational Therapy Assistant | 3060 Se Stark St, Portland, OR 97214-3053 | 2015-07-22 |
| 1407241896 | Janelle Villarreal | Physical Therapist | 3060 Se Stark St, Portland, OR 97214-3053 | 2015-04-02 |
| 1487047098 | William Backus | Physical Therapy Assistant | 3060 Se Stark St, Portland, OR 97214-3053 | 2015-03-07 |
| 1477957140 | Heidi Martin | Physical Therapy Assistant | 3060 Se Stark St, Portland, OR 97214-3053 | 2014-10-09 |
| 1770918310 | Faye A Whitacre | Occupational Therapist | 3060 Se Stark St, Portland, OR 97214-3053 | 2013-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1336772243 | Alexandra Mcbryde | Acupuncturist | 959 Se Division St, #315, Portland, OR 97214 | 2020-02-19 |
| 1356973770 | Laura Kille | Counselor | Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 | 2020-02-05 |
| 1639616436 | Erin Elizabeth Weaver | Acupuncturist | 1330 Se Cesar E Chavez Blvd. Center for Natural Meidici, Portland, OR 97214 | 2017-01-31 |
| 1780126045 | Katherine Aravamudan, Lpc, LLC | Community/Behavioral Health | 1312 E. Burnside Street, Portland, OR 97214 | 2016-11-17 |
| 1003358441 | Michelle Jean Meadows | Massage Therapist | 2804 Se Lincoln St, Portland, OR 97214 | 2016-11-16 |
| 1629429311 | Stephanie Tolentino | Counselor | 605 Se Cesar E Chavez Blvd., Portland, OR 97214 | 2016-06-24 |
| 1790141166 | Marian Iris Dixon | Massage Therapist | 3810 Se Belmont St., Earthbody Wellness Center East, Portland, OR 97214 | 2016-01-14 |
| 1194194589 | Lutheran Community Services Northwest | Community/Behavioral Health | 605 Se Cesar E Chavez Bld, Portland, OR 97214 | 2015-09-16 |
| 1497123566 | Michele R. Stokes | Specialist | 2311 East Burnside B1, Portland, OR 97214 | 2015-09-08 |
| Find all providers in zip 97214 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861835456 | Marquis Companies II, Inc. | Skilled Nursing Facility | 319 Ne Russet St, Portland, OR 97211-2815 | 2013-04-12 |
| 1942437298 | Anita August | Skilled Nursing Facility | 300 Nw 8th Ave Apt 707, Portland, OR 97209-3560 | 2009-06-14 |
| 1720151988 | Care Center East Health - Portland, LLC | Skilled Nursing Facility | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2006-11-16 |
| 1659470193 | Eagle Healthcare, Inc | Skilled Nursing Facility | 745 Ne 122nd Ave, Portland, OR 97230-2001 | 2006-09-21 |
| 1932211968 | Marquis Companies I, Inc | Skilled Nursing Facility | 725 Se 202nd Ave, Portland, OR 97233-6105 | 2006-08-31 |
| 1508978537 | Marquis Companies I, Inc | Skilled Nursing Facility | 1475 Se 100th Ave, Portland, OR 97216-2537 | 2006-08-31 |
| 1942312905 | Marquis Companies I, Inc | Skilled Nursing Facility | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2006-08-31 |
| 1205841095 | Adventist Health System Texas, Inc. | Skilled Nursing Facility | 215 Highland Circle Dr, Portland, TN 37148-4918 | 2006-07-30 |
| 1629008651 | Harbor Care Corporation | Skilled Nursing Facility | 3540 Se Francis St, Portland, OR 97202-3350 | 2006-07-04 |
| 1114969912 | West Hills Convalescent Center Limited Partnership | Skilled Nursing Facility | 5701 Sw Multnomah Blvd, Portland, OR 97219-3195 | 2006-06-13 |
| Find all providers in PORTLAND | ||||
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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.