ROSE VILLA, INC. (NPI# 1679819411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679819411 |
| Entity Type | Organization |
| Organization Name | ROSE VILLA, INC. |
| Other Organization Name | ROSE VILLA SENIOR LIVING |
| Practice Address |
13505 Se River Rd Portland OR 97222-8038 |
| Practice Telephone | 5036543171 |
| Mailing Telephone | 5036543171 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Authorized Official Name | ERIN CORNELL (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Telephone | 5036523282 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 1352498888 | OR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rose Villa Senior LIving | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROSE VILLA, INC. | 13505 Se River Rd, Portland, OR 97222 |
| Street Address |
13505 SE RIVER RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97222-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245486935 | Premere Rehab LLC | Occupational Therapist | 13505 Se River Rd, Portland, OR 97222-8038 | 2008-08-13 |
| 1912167107 | Lysse E Waring | Occupational Therapist | 13505 Se River Rd, Portland, OR 97222-8038 | 2008-06-11 |
| 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 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| 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 |
| 1205053600 | St. Jude Operating Company, LLC | Nursing Facility/Intermediate Care Facility | 6003 Se 136th Ave, Portland, OR 97236-4567 | 2007-04-19 |
| 1639227036 | Marquis Companies | Nursing Facility/Intermediate Care Facility | 6630 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1404 | 2007-01-08 |
| 1164525077 | Lawrence Convalescent Center | Nursing Facility/Intermediate Care Facility | 812 Se 48th Ave, Portland, OR 97215-1724 | 2006-09-06 |
| 1437180486 | Cornerstone Care Option | Nursing Facility/Intermediate Care Facility | 12640 Se Bush St, Portland, OR 97236-3423 | 2006-07-06 |
| 1811987779 | Fernhill Estates, LLC | Nursing Facility/Intermediate Care Facility | 5737 Ne 37th Ave, Portland, OR 97211-7905 | 2005-10-24 |
| 1750377115 | Robison Jewish Home | Nursing Facility/Intermediate Care Facility | 6125 Sw Boundary St, Portland, OR 97221-1019 | 2005-09-21 |
| 1023670114 | Sapphire At Rose City, LLC | Nursing Facility/Intermediate Care Facility | 34 Ne 20th Ave, Portland, OR 97232-3019 | 2019-06-28 |
| 1295178887 | Marquis Companies II, Inc. | Nursing Facility/Intermediate Care Facility | 6630 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1404 | 2013-04-12 |
| Find all providers in PORTLAND | ||||
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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.