FM OAKS, LLC (NPI# 1326664947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326664947 |
Entity Type | Organization |
Organization Name | FM OAKS, LLC |
Practice Address |
621 W Oak St Lebanon OR 97355-1788 |
Mailing Address |
7420 Sw Bridgeport Rd Ste 105 Portland OR 97224-7790 |
Practice Telephone | 5412587777 |
Practice Fax Number | 5412587798 |
Mailing Telephone | 5035974906 |
Mailing Fax Number | 5034431919 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Authorized Official Name | GREGORY RODERICK (MEMBER) |
Authorized Official Telephone | 5034431818 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 524493 | 05 |
Other Name | Type Code |
---|---|
Oaks at Lebanon | Doing Business As Name - Organization |
Street Address |
621 W OAK ST |
City | LEBANON |
State | OR |
Zip Code | 97355-1788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
Find all providers in zip 97355 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164085577 | Otterbein Lebanon | Assisted Living Facility | 585 North State Route 741, Lebanon, OH 45036-8839 | 2019-04-22 |
1427401546 | Bellwood Assisted Living LLC | Assisted Living Facility | 3190 Carthage Hwy, Lebanon, TN 37087-9564 | 2016-07-14 |
1720416399 | Al Lebanon Operations, LLC | Assisted Living Facility | 860 Norman Dr, Lebanon, PA 17042-7499 | 2013-10-17 |
1891032710 | Southern Manor Living Centers of Lebanon, LLC | Assisted Living Facility | 900 Coles Ferry Pike, Lebanon, TN 37087-5677 | 2013-01-11 |
1043520133 | Countryside Home, LLC | Assisted Living Facility | 24499 Park Dr, Lebanon, MO 65536-5843 | 2010-10-07 |
1467640631 | Alice Peck Day Health Systems | Assisted Living Facility | 121 Mascoma St, Lebanon, NH 03766-2610 | 2007-10-12 |
1225244940 | Bristol Care, Inc. | Assisted Living Facility | 1316 Deadra Dr, Lebanon, MO 65536-4609 | 2007-05-16 |
1487771275 | Century Fields | Assisted Living Facility | 181 S 5th St, Lebanon, OR 97355-2711 | 2007-03-25 |
1306970025 | Krn-dns Inc. | Assisted Living Facility | 31841 Highway 5, Lebanon, MO 65536-6898 | 2007-03-15 |
1922166115 | Open Options Inc. | Assisted Living Facility | 1073 Oregonia Rd Ste A, Lebanon, OH 45036-7532 | 2006-12-04 |
Find all providers in LEBANON |
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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.