MILWAUKIE CONVALESCENT HOSPITAL INC


Address: 12045 Se Stanley Ave, Milwaukie, OR 97222
Phone: 5036592323

MILWAUKIE CONVALESCENT HOSPITAL INC (NPI# 1568509966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568509966
Entity Type Organization
Organization Name MILWAUKIE CONVALESCENT HOSPITAL INC
Other Organization Name MILWAUKIE CONVALESCENT CENTER
Practice Address 12045 Se Stanley Ave
Milwaukie
OR 97222
Practice Telephone 5036592323
Practice Fax Number 5033538533
Mailing Telephone 5036592323
Mailing Fax Number 5033538533
Enumeration Date 2007-02-01
Last Update Date 2015-01-21
Authorized Official Name DAVID EIVERS (GM)
Authorized Official Telephone 5036592323
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility OR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 802645 05

Other Provider/Organization Names

Other Name Type Code
Milwaukie Convalescent Center Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MILWAUKIE CONVALESCENT HOSPITAL INC. 1204 Se Clatsop, Portland, OR 97202

Office Location

Street Address 12045 SE STANLEY AVE
City MILWAUKIE
State OR
Zip Code 97222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639693021 Anna Stabio Occupational Therapist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2017-07-27
1629529532 Elizabeth Martino Physical Therapist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2016-10-17
1659724979 Kelsey Jeter Occupational Therapy Assistant 12045 Se Stanley Ave, Milwaukie, OR 97222 2016-07-21
1225499973 Jens Frojen Speech-Language Pathologist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2016-03-09
1417322017 Mary Aguilar Community Health Worker 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2015-12-08
1205204609 Care Center (milwaukie) Inc. Skilled Nursing Facility 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2015-09-02
1588063366 Brenda Jacob Physical Therapy Assistant 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2014-08-18
1861815789 April Yahna Occupational Therapist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2014-01-28
1770742868 Kathleen Sue Ugelstad Occupational Therapist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2008-06-04
1881893014 Cora Sue Nickel Day Training/Habilitation Specialist 12045 Se Stanley Ave, Milwaukie, OR 97222-2938 2007-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831731397 Madalyn Kelly Yowell Technician 7809 Southeast Southgate Street, Milwaukee, OR 97222 2019-10-16
1336617448 Nadia Yang Social Worker 2115 Se Adams St, Milwaukie, OR 97222 2018-11-06
1851892368 Arrow Dental LLC Dentist 10505 Se 17th Avenue, Milwaukie, OR 97222 2018-02-21
1851814016 Cathy Maria Andrew Acupuncturist 11022 Se Stanley Ave, Milwaukie, OR 97222 2017-07-19
1972025369 Sarah Elizabeth Giles Peer Specialist 11097 Se 21st Ave., Milwaukie, OR 97222 2017-07-07
1366976292 Brittany Reubendale Physical Therapist 12705 See River Rd, Portland, OR 97222 2017-04-18
1669916383 Margie Hertz Registered Nurse 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 2016-12-14
1952858094 Alexis Escobar Speech-Language Pathologist 4560 Se International Way, Ste 100, Milwaukie, OR 97222 2016-09-07
1205295466 Beth Ann Mills Acupuncturist 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 2016-02-16
1558744086 Kyle Eugene Coan Specialist 3306 Se Wister St, Milwaukie, OR 97222 2015-07-01
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
1871996710 Yamhill County Health and Human Services Nursing Facility/Intermediate Care Facility 627 Ne Evans St., Mcminnille, OR 97128 2014-10-07
1245598531 Lane County Community Health Centers Nursing Facility/Intermediate Care Facility 3355 N Delta Hwy Unit 108, Eugene, OR 97408-5913 2012-04-25
1760717078 Eea Company Nursing Facility/Intermediate Care Facility 33910 E Columbia Ave, Scappoose, OR 97056-3309 2009-10-05
1194900399 Arntz Medical Nursing Facility/Intermediate Care Facility 229 N Egan, Burns, OR 97720 2008-01-07
1003020686 Hillside Senior Living Community, LLC Nursing Facility/Intermediate Care Facility 300 Nw Hillside Park Way, Mcminnville, OR 97128 2007-05-10
1205053600 St. Jude Operating Company, LLC Nursing Facility/Intermediate Care Facility 6003 Se 136th Ave, Portland, OR 97236-4567 2007-04-19
1427273614 Rose Linn Care Center Nursing Facility/Intermediate Care Facility 2330 Debok Rd, West Linn, OR 97068-3902 2007-04-15
1861521312 Blue Mountain Hospital District Nursing Facility/Intermediate Care Facility 112 E 5th St, Prairie City, OR 97869 2007-03-02
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Competitor

Search similar providers

City MILWAUKIE
Zip Code 97222

Improve Information

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Dataset Information

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.

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