EVERGREEN OREGON HEALTHCARE ORCHARDS RETIREMENT, L.L.C. (NPI# 1710296793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710296793 |
| Entity Type | Organization |
| Organization Name | EVERGREEN OREGON HEALTHCARE ORCHARDS RETIREMENT, L.L.C. |
| Other Organization Name | CASCADE VALLEY ASSISTED LIVING |
| Practice Address |
1010 Ne 3rd Ave Milton Freewater OR 97862-9404 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 |
| Practice Telephone | 5419385693 |
| Practice Fax Number | 5419384490 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | MICHAEL J MILLER (ASSISTANT MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVERGREEN OREGON HEALTHCARE, L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1883778809 | OR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 564166 | 05 |
| Other Name | Type Code |
|---|---|
| Cascade Valley Assisted Living | Doing Business As Name - Organization |
| Cascade Valley Assisted Living and Memory Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EVERGREEN OREGON HEALTHCARE ORCHARDS RETIREMENT, L.L.C. | 1010 Ne 3rd, Milton Freewater, OR 97862 |
| Street Address |
1010 NE 3RD AVE |
| City | MILTON FREEWATER |
| State | OR |
| Zip Code | 97862-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890916 | Divine Mansiba Maganto | Nurse's Aide | 1010 Ne 3rd Ave, Milton Freewater, OR 97862 | 2020-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538352 | Paksupim Cole | Massage Therapist | 85452 Hwy 11, Milton Freewater, OR 97862 | 2018-12-05 |
| 1356812192 | Lacey Elizabeth Rose Klem | Massage Therapist | 85458 Hywy 11, Milton Freewater, OR 97862 | 2018-12-05 |
| 1770778664 | Amon Chiropractic LLC | Chiropractor | 85458 Hwy 11, Milton Freewater, OR 97862 | 2007-09-13 |
| 1215001052 | Broadway Family Dental Care LLC | Dentist | 508 E Broadway, Milton Freewater, OR 97862 | 2006-11-20 |
| 1750462917 | Sarah S Hsu | Social Worker | 1253 Stonewood Ct, Milton Freewater, OR 97862 | 2006-10-17 |
| 1902317621 | Michael David Bruno | Speech-Language Pathologist | 120 Elzora St, Milton Freewater, OR 97862 | 2017-10-20 |
| 1821475286 | Danielle Strickland | Massage Therapist | 533 S Main St, Milton Freewater, OR 97862-1017 | 2015-05-05 |
| 1457476392 | Alicia A Taylor | Registered Nurse | 110 Sw 4th Ave, Milton Freewater, OR 97862-1031 | 2007-03-20 |
| 1225401151 | Serenity Counseling PC | Community/Behavioral Health | 1253 Stonewood Ct, Milton Freewater, OR 97862-1067 | 2015-10-30 |
| 1104948579 | Norman Dean Saager | Dentist | 508 E Broadway Ave, Milton Freewater, OR 97862-1315 | 2007-04-04 |
| Find all providers in zip 97862 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092520 | W2 Powell Valley, LLC | Assisted Living Facility | 4001 Se 182nd Ave, Gresham, OR 97030-5063 | 2020-10-30 |
| 1790384576 | Pacifica Calaroga Terrace LLC | Assisted Living Facility | 1400 Ne 2nd Ave, Portland, OR 97232-1148 | 2020-10-22 |
| 1023629805 | Barbara Mcvay | Assisted Living Facility | 50792 Huntington Rd, La Pine, OR 97739-9041 | 2020-08-13 |
| 1255959821 | Northwest Hc Cambridge Terrace (or) Operator Nt-hci, LLC | Assisted Living Facility | 2800 14th Ave Se, Albany, OR 97322-7079 | 2020-07-10 |
| 1639797103 | Northwest Hc Oak Park Or Operator Nt-hci LLC | Assisted Living Facility | 1400 Ne Rocky Ridge Dr, Roseburg, OR 97470-5673 | 2020-07-10 |
| 1912525486 | Northwest Hc Cascadia Village Or Operator Nt-hci LLC | Assisted Living Facility | 25117 Sw Parkway Ave Ste F, Wilsonville, OR 97070-9697 | 2020-07-10 |
| 1255958120 | Elderberry Square Community, LLC | Assisted Living Facility | 3321 Oak St, Florence, OR 97439-9515 | 2020-06-26 |
| 1881211852 | Chancellor Health Care of California Ix, Inc. | Assisted Living Facility | 14550 Se Vista Ln, Milwaukie, OR 97267-1731 | 2020-06-25 |
| 1558987768 | Greenridge Estates Operating LLC | Assisted Living Facility | 4 Greenridge Dr, Lake Oswego, OR 97035-1400 | 2020-06-23 |
| 1952927121 | Oregon Alf, LLC | Assisted Living Facility | 15900 Se 82nd Dr, Clackamas, OR 97015-9502 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | MILTON FREEWATER |
| Zip Code | 97862 |
Please comment or provide details below to improve the information on EVERGREEN OREGON HEALTHCARE ORCHARDS RETIREMENT, L.L.C..
| 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.