SOUTH SALEM REHABILITATION, LLC (NPI# 1215071998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215071998 |
| Entity Type | Organization |
| Organization Name | SOUTH SALEM REHABILITATION, LLC |
| Other Organization Name | SALEM TRANSITIONAL CARE |
| Practice Address |
3445 Boone Rd Se Salem OR 97317-9336 |
| Mailing Address |
25117 Sw Parkway Ave Suite F Wilsonville OR 97070-9697 |
| Practice Telephone | 5035763000 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | KARL MILLER JR. (CEO) |
| Authorized Official Telephone | 5035703405 |
| 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 |
|---|---|
| Salem Transitional Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTH SALEM REHABILITATION, LLC | 25117 Sw Parkway Suite F, Wilsonville, OR 97070 |
| Street Address |
3445 BOONE RD SE |
| City | SALEM |
| State | OR |
| Zip Code | 97317-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737513 | Virginia Rose Edwards Gray | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2020-07-21 |
| 1619513769 | Kaitlyn Mary Mcgowan | Nurse Practitioner | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-11-25 |
| 1376187815 | Colby L Curtis | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-10-28 |
| 1013576263 | Amber Khan | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2019-06-11 |
| 1245720622 | Michelle Jean Thoreson | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2018-05-11 |
| 1518481142 | Ryan Johnson | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-26 |
| 1093237620 | Kyleen Johnson | Speech-Language Pathologist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-07-14 |
| 1538608195 | Kendra Sinn | Physical Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2017-02-15 |
| 1912453952 | Sarah Bea Fischer | Occupational Therapy Assistant | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-08-30 |
| 1609322668 | Christina Dodini-marquez | Physical Therapist | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962932996 | Corinna Leona Zib | Counselor | 4726 Appaloosa Ct Se, Salem, OR 97317 | 2017-06-13 |
| 1639537889 | Nikole Stormo | Massage Therapist | 4675 Campbell Dr Se Apt267, Salem, OR 97317 | 2016-02-03 |
| 1174698971 | Christian Community Placement Center | Foster Care Agency | 4890 32nd Ave Se, Salem, OR 97317 | 2006-11-21 |
| 1235653569 | Alexis Panther | Community Health Worker | 4890 32nd Ave Se, Salem, OR 97317 | 2017-07-28 |
| 1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
| 1841410057 | Jennifer Krug | Specialist/Technologist | 5000 Deer Park Dr Se, Salem, OR 97317 | 2007-04-27 |
| 1649498262 | Carol Adams | Social Worker | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2007-04-20 |
| 1992114490 | Pathways - Child and Family Services - LLC | Community/Behavioral Health | 1164 63rd Ave Ne, Salem, OR 97317-2313 | 2014-08-08 |
| 1417513235 | James Matthew Conway | Social Worker | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| Find all providers in zip 97317 | ||||
| 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 |
|---|---|---|---|---|
| 1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1659710549 | Taos Nm Senior Living, LLC | Skilled Nursing Facility | 2735 12th St Se, Suite 100, Salem, OR 97302-3186 | 2013-06-24 |
| 1700120292 | Wakefield Care and Rehab Center | Skilled Nursing Facility | 21 Gardner St, Apt 2, Salem, MA 01970-4852 | 2012-11-21 |
| 1669783171 | Genesis Rehab | Skilled Nursing Facility | 2511 Bently Road, Salem, OH 44460 | 2010-06-30 |
| 1992034557 | Salem Healthcare and Rehabilitation Center | Skilled Nursing Facility | 1985 E Pershing St, Salem, OH 44460-3411 | 2009-12-10 |
| 1730254095 | Helia Healthcare of Salem LLC | Skilled Nursing Facility | 1201 Hawthorn Rd, Salem, IL 62881-1028 | 2006-11-22 |
| 1003980160 | West Branch Nursing Home Ltd. | Skilled Nursing Facility | 451 Valley Rd, Salem, OH 44460-9725 | 2006-11-20 |
| Find all providers in SALEM | ||||
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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.