SHERIDAN CARE CENTER LLC (NPI# 1316992647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316992647 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CARE CENTER LLC |
| Practice Address |
411 Se Sheridan Rd Sheridan OR 97378-1938 |
| Practice Telephone | 5038432204 |
| Practice Fax Number | 5038434612 |
| Mailing Telephone | 5038432204 |
| Mailing Fax Number | 5038434612 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MR. KENT M EMRY (MEMBER) |
| Authorized Official Telephone | 5035850200 |
| Authorized Official Credential | BHA, HCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | OR | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 800092 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SHERIDAN CARE CENTER LLC | 4676 Commercial St Se #167, Salem, OR 97302 |
| Street Address |
411 SE SHERIDAN RD |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| Find all providers in zip 97378 | ||||
| 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 |
|---|---|---|---|---|
| 1396034112 | Alternative Elder Living, Inc. | Skilled Nursing Facility | 2311 Shirley Cv, Sheridan, WY 82801-8306 | 2011-04-01 |
| 1184745457 | Ssc Sheridan Operating Company LLC | Skilled Nursing Facility | 1851 Big Horn Ave, Sheridan, WY 82801-5913 | 2007-04-03 |
| 1083771679 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2007-01-02 |
| 1609819572 | Daviess County Hospital | Skilled Nursing Facility | 803 S Hamilton St, Sheridan, IN 46069-1415 | 2006-06-14 |
| 1134160989 | Madison County Finance | Skilled Nursing Facility | 326 Madison St, Sheridan, MT 59749-9636 | 2006-06-10 |
| 1033107610 | Diversicare Leasing Corp. | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2005-10-08 |
| 1972964831 | Westview Operations, LLC | Skilled Nursing Facility | 1990 W Loucks St, Sheridan, WY 82801-4500 | 2016-03-18 |
| 1396129060 | Grant Snf Operations LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2015-07-13 |
| 1255764676 | Grant Operations, LLC | Skilled Nursing Facility | 113 S Briarwood Dr, Sheridan, AR 72150-8417 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1689231383 | Marquis Companies I Inc | Skilled Nursing Facility | 410 Se Church Street, Sublimity, OR 97385 | 2019-05-29 |
| 1720528003 | Rashelle M Johnson | Skilled Nursing Facility | 2457 Ne Bobbi Pl, Prineville, OR 97754-9089 | 2017-03-06 |
| 1881133254 | Jessie Steele | Skilled Nursing Facility | 2693 Nw Crossing Dr, Bend, OR 97703-7347 | 2017-02-18 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1508250762 | West Linn Care Ctr Operating Co, LLC | Skilled Nursing Facility | 2330 Deok Rd., West Linn, OR 97068-3902 | 2015-03-26 |
| 1568871770 | Keizer River Operations, LLC | Skilled Nursing Facility | 450 Clagett Ct. N, Keizer, OR 97303-4400 | 2014-08-13 |
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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.