LAUREL PINES INC (NPI# 1750907317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750907317 |
Entity Type | Organization |
Organization Name | LAUREL PINES INC |
Practice Address |
3100 Avenue A White City OR 97503-1715 |
Practice Telephone | 5418307800 |
Practice Fax Number | 5418307802 |
Mailing Telephone | 5418307800 |
Mailing Fax Number | 5418307802 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Authorized Official Name | MELISSA HARRIS-PLANCE (BILLING MANAGER) |
Authorized Official Telephone | 5035804416 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Laurel Pines Retirement Lodge | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | LAUREL PINES INC. | 3100 Avenue A, White City, OR 97503 |
Street Address |
3100 AVENUE A |
City | WHITE CITY |
State | OR |
Zip Code | 97503-1715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
Find all providers in zip 97503 |
Taxonomy Code | 311Z00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093170367 | Brigitte Rocha | Custodial Care Facility | 2841 Friendly St, Eugene, OR 97405-2391 | 2015-12-30 |
1508170945 | Gentog, LLC | Custodial Care Facility | 11535 Sw Durham Rd, Suite C5, Tigard, OR 97224-3474 | 2010-07-27 |
1992897599 | Trinity Home Care LLC | Custodial Care Facility | 940 Sw Central Ave, Grants Pass, OR 97526-2755 | 2006-09-29 |
1437510922 | Oregon Dept. of Corrections | Custodial Care Facility | 2757 22nd St Se, Salem, OR 97302-1553 | 2016-03-11 |
1003949496 | Care Centers Management, Inc. | Custodial Care Facility | 637 Ash St, Myrtle Point, OR 97458-1133 | 2007-03-14 |
City | WHITE CITY |
Zip Code | 97503 |
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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.