STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS (NPI# 1679985113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679985113 |
| Entity Type | Organization |
| Organization Name | STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS |
| Other Organization Name | OREGON VETERANS HOME - LEBANON |
| Practice Address |
600 N. 5th Street Lebanon OR 97355 |
| Practice Telephone | 5033625235 |
| Mailing Telephone | 5033625235 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2015-03-18 |
| Authorized Official Name | BRUCE SHRIVER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5033732268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500681197 | 05 |
| Other Name | Type Code |
|---|---|
| Oregon Veterans Home - Lebanon | Other Name - Individual/Organization |
| Street Address |
600 N. 5TH STREET |
| City | LEBANON |
| State | OR |
| Zip Code | 97355 |
| 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 |
| 1578812277 | Mid-valley Healthcare, Inc. | Internal Medicine | 100 Mullins Drive, Suite B1, Lebanon, OR 97355 | 2012-09-10 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1982094587 | Mindy Walker | Skilled Nursing Facility | 942 Balsam Wood Ln, Lebanon, OH 45036-8528 | 2015-02-03 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1740443910 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 700 Monroe Rd, Lebanon, OH 45036-1409 | 2008-07-08 |
| 1093925612 | Cedars Nursing Home Inc. | Skilled Nursing Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2007-05-23 |
| 1851412407 | Ssc Lebanon Operating Company LLC | Skilled Nursing Facility | 731 Castle Heights Ct, Lebanon, TN 37087-2646 | 2007-04-02 |
| 1972634285 | Healthcare Opportunities Inc | Skilled Nursing Facility | 102 E Silver St, Lebanon, OH 45036-1812 | 2007-03-08 |
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1578649703 | Quality Care Investors | Skilled Nursing Facility | 932 Baddour Pkwy, Lebanon, TN 37087 | 2006-10-31 |
| 1265515803 | The Village of Lebanon, LLC | Skilled Nursing Facility | 337 S Harrison St, Lebanon, KY 40033-1150 | 2006-10-24 |
| 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.