LAWRENCE CONVALESCENT CENTER (NPI# 1164525077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164525077 |
| Entity Type | Organization |
| Organization Name | LAWRENCE CONVALESCENT CENTER |
| Practice Address |
812 Se 48th Ave Portland OR 97215-1724 |
| Practice Telephone | 5032362624 |
| Practice Fax Number | 5032339377 |
| Mailing Telephone | 5032362624 |
| Mailing Fax Number | 5032339377 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DONALD DOANE SNOW (ADMINISTRATOR) |
| Authorized Official Telephone | 5032362624 |
| Authorized Official Credential | BS HCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 804724 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LAWRENCE CONVALESCENT CENTER | 812 Se 48th Ave, Portland, OR 97215 |
| Street Address |
812 SE 48TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407204746 | Creekside Rehabilitation and Nursing | Skilled Nursing Facility | 812 Se 48th Ave, Portland, OR 97215-1724 | 2016-05-26 |
| 1861897845 | Benjamin Chimenti | Physical Therapist | 812 Se 48th Ave, Portland, OR 97215-1724 | 2014-11-03 |
| 1699015917 | Charles W. Lawrence | Skilled Nursing Facility | 812 Se 48th Ave, Portland, OR 97215-1724 | 2013-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114492519 | Maple Hollow Rehabilitation and Nursing LLC | Nursing Facility/Intermediate Care Facility | 34 Ne 20th Ave, Portland, OR 97232-3019 | 2018-10-11 |
| 1124550322 | Lisa's Healing and Helping Hands | Nursing Facility/Intermediate Care Facility | 11832 Ne Couch St, Portland, OR 97220-2358 | 2017-03-28 |
| 1205053600 | St. Jude Operating Company, LLC | Nursing Facility/Intermediate Care Facility | 6003 Se 136th Ave, Portland, OR 97236-4567 | 2007-04-19 |
| 1639227036 | Marquis Companies | Nursing Facility/Intermediate Care Facility | 6630 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1404 | 2007-01-08 |
| 1437180486 | Cornerstone Care Option | Nursing Facility/Intermediate Care Facility | 12640 Se Bush St, Portland, OR 97236-3423 | 2006-07-06 |
| 1811987779 | Fernhill Estates, LLC | Nursing Facility/Intermediate Care Facility | 5737 Ne 37th Ave, Portland, OR 97211-7905 | 2005-10-24 |
| 1750377115 | Robison Jewish Home | Nursing Facility/Intermediate Care Facility | 6125 Sw Boundary St, Portland, OR 97221-1019 | 2005-09-21 |
| 1023670114 | Sapphire At Rose City, LLC | Nursing Facility/Intermediate Care Facility | 34 Ne 20th Ave, Portland, OR 97232-3019 | 2019-06-28 |
| 1295178887 | Marquis Companies II, Inc. | Nursing Facility/Intermediate Care Facility | 6630 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1404 | 2013-04-12 |
| 1679819411 | Rose Villa, Inc. | Nursing Facility/Intermediate Care Facility | 13505 Se River Rd, Portland, OR 97222-8038 | 2012-12-26 |
| 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.