MANOR CARE OF SALMON CREEK WA, ASSOCIATION (NPI# 1609171081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609171081 |
| Entity Type | Organization |
| Organization Name | MANOR CARE OF SALMON CREEK WA, ASSOCIATION |
| Other Organization Name | MANORCARE HEALTH SERVICES - SALMON CREEK |
| Practice Address |
2811 Ne 139th St Vancouver WA 98686-2724 |
| Mailing Address |
333 N Summit St Toledo OH 43604-2615 |
| Practice Telephone | 3605745247 |
| Practice Fax Number | 3605749126 |
| Mailing Telephone | 4192525500 |
| Mailing Fax Number | 8773859446 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1609171081 | 05 |
| Other Name | Type Code |
|---|---|
| ManorCare Health Services - Salmon Creek | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MANOR CARE OF SALMON CREEK WA, ASSOCIATION | 333 N. Summit Street, Toledo, OH 43604 |
| Street Address |
2811 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083892665 | Wendy Kay Kellam | Speech-Language Pathologist | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2008-02-05 |
| 1154958429 | Mark Chapman Woods | Occupational Therapist | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2020-03-25 |
| 1922588532 | Stacey Anne Koehler-west | Nurse Practitioner | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2018-08-14 |
| 1306197561 | Micah Sanders-massingale | Speech-Language Pathologist | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2012-09-27 |
| 1790085587 | Erin Lescano | Physical Therapy Assistant | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2010-10-26 |
| 1689833766 | Pamela Dunnick | Nurse Practitioner | 2811 Ne 139th St, Vancouver, WA 98686-2724 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| 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 |
|---|---|---|---|---|
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1114091733 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1015 N Garrison Rd, Vancouver, WA 98664-1313 | 2006-11-17 |
| 1336247584 | Fort Vancouver Convalescent Center LLC | Skilled Nursing Facility | 8507 Ne 8th Way, Vancouver, WA 98664-1980 | 2006-09-20 |
| 1629099817 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 400 E 33rd St, Vancouver, WA 98663-2238 | 2006-07-22 |
| 1578559894 | Care Center Hazel Dell Inc | Skilled Nursing Facility | 5220 Ne Hazel Dell Ave, Vancouver, WA 98663-1242 | 2005-09-22 |
| 1811493364 | 1015 North Garrison, LLC | Skilled Nursing Facility | 1015 N Garrison Rd, Vancouver, WA 98664-1313 | 2018-04-03 |
| 1396101580 | Puget Sound Senior Psychology LLC | Skilled Nursing Facility | 9340 Ne 76th St, Vancouver, WA 98662-3721 | 2016-01-05 |
| 1144602251 | Melanie Christensen | Skilled Nursing Facility | 801 Se Park Crest Ave, Vancouver, WA 98683-1300 | 2015-06-25 |
| 1568858090 | Fort Vancouver Post Acute, LLC | Skilled Nursing Facility | 8507 Ne 8th Way, Vancouver, WA 98664-1980 | 2015-04-10 |
| 1083002141 | Fmg North Garrison Road Washington LLC | Skilled Nursing Facility | 1015 N Garrison Rd, Vancouver, WA 98664-1354 | 2014-12-24 |
| Find all providers in VANCOUVER | ||||
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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.