VILLAGE HEALTH CARE I, LLC


Address: 3955 Se 182nd Ave, Gresham, OR 97030-5036
Phone: 5036650183

VILLAGE HEALTH CARE I, LLC (NPI# 1629224449) 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) 1629224449
Entity Type Organization
Organization Name VILLAGE HEALTH CARE I, LLC
Practice Address 3955 Se 182nd Ave
Gresham
OR 97030-5036
Practice Telephone 5036650183
Practice Fax Number 5036666609
Mailing Telephone 5036650183
Mailing Fax Number 5036666609
Enumeration Date 2008-08-12
Last Update Date 2008-08-12
Authorized Official Name MR. ALAN JESSE MARCOFF (CONTROLLER)
Authorized Official Telephone 5036650183
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 1124599635 OR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 800120 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names VILLAGE HEALTH CARE I, LLC 3955 Se 182nd, Gresham, OR 97030

Office Location

Street Address 3955 SE 182ND AVE
City GRESHAM
State OR
Zip Code 97030-5036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225025216 Village Health Care Skilled Nursing Facility 3955 Se 182nd Ave, Gresham, OR 97030-5036 2005-10-04
1124591466 Megan Maxine Shiere Licensed Practical Nurse 3955 Se 182nd Ave, Gresham, OR 97030-5036 2019-01-09
1528539301 Michelle Houk Occupational Therapist 3955 Se 182nd Ave, Gresham, OR 97030-5036 2018-12-05
1912493040 Kevin D Cazeault Occupational Therapist 3955 Se 182nd Ave, Gresham, OR 97030 2018-07-01
1730531724 Mason Munson Occupational Therapist 3955 Se 182nd Ave, Gresham, OR 97030-5036 2016-07-01
1639456908 Karen Elizabeth Nieten Occupational Therapist 3955 Se 182nd Ave, Gresham, OR 97030-5036 2011-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144468505 Todd Douglas Frary Skilled Nursing Facility 1941 Sw Lake Pl, Gresham, OR 97080-9798 2009-01-22
1144247115 Pacific Senior Care, LLC Skilled Nursing Facility 405 Ne 5th St, Gresham, OR 97030 2006-07-16
1881624112 Rest Harbor Extended Care Center Inc. Skilled Nursing Facility 5905 Se Powell Valley Rd, Gresham, OR 97080-1919 2006-07-03
1225025216 Village Health Care Skilled Nursing Facility 3955 Se 182nd Ave, Gresham, OR 97030-5036 2005-10-04
1033740899 Sapphire At Gresham Rehab, LLC Skilled Nursing Facility 405 Ne 5th St, Gresham, OR 97030-7345 2020-01-30
1790909786 Regency Gresham Nursing & Rehabilitation Center LLC Skilled Nursing Facility 5905 Se Powell Valley Rd, Gresham, OR 97080-1919 2007-04-12

Providers in the same taxonomy and state

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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Competitor

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City GRESHAM
Zip Code 97030

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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