CARE CENTER EAST HEALTH - PORTLAND, LLC (NPI# 1780197517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780197517 |
| Entity Type | Organization |
| Organization Name | CARE CENTER EAST HEALTH - PORTLAND, LLC |
| Other Organization Name | CARE CENTER EAST HEALTH & SPECIALTY CARE CENTER |
| Practice Address |
11325 Ne Weidler St Portland OR 97220-1950 |
| Mailing Address |
3220 Rosedale St Nw Ste 200 Gig Harbor WA 98335-1837 |
| Practice Telephone | 5032531181 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | DOV E JACOBS (MANAGER) |
| Authorized Official Telephone | 3236784426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Care Center East Health & Specialty Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720151988 | Care Center East Health - Portland, LLC | Skilled Nursing Facility | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2006-11-16 |
| Street Address |
11325 NE WEIDLER ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720151988 | Care Center East Health - Portland, LLC | Skilled Nursing Facility | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2006-11-16 |
| 1538693890 | Mary Jo Devito | Occupational Therapist | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2017-04-13 |
| 1710375878 | Fmg Northeast Weidler Street Oregon LLC | Skilled Nursing Facility | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2014-12-24 |
| 1184054157 | Brian May | Physical Therapist | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-12 |
| 1114356565 | Lecia Dakin | Physical Therapist | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-06 |
| 1467881896 | Michael Harrington | Occupational Therapist | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-06 |
| 1366871881 | Whitney Swenson | Occupational Therapy Assistant | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-05 |
| 1487083903 | Richard Kreider | Physical Therapy Assistant | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-05 |
| 1215366729 | Richard Macaluso | Physical Therapy Assistant | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-11-05 |
| 1093143141 | Pro-step Rehab | Residential Treatment Facility, Physical Disabilities | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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 |
|---|---|---|---|---|
| 1861835456 | Marquis Companies II, Inc. | Skilled Nursing Facility | 319 Ne Russet St, Portland, OR 97211-2815 | 2013-04-12 |
| 1942437298 | Anita August | Skilled Nursing Facility | 300 Nw 8th Ave Apt 707, Portland, OR 97209-3560 | 2009-06-14 |
| 1720151988 | Care Center East Health - Portland, LLC | Skilled Nursing Facility | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2006-11-16 |
| 1659470193 | Eagle Healthcare, Inc | Skilled Nursing Facility | 745 Ne 122nd Ave, Portland, OR 97230-2001 | 2006-09-21 |
| 1932211968 | Marquis Companies I, Inc | Skilled Nursing Facility | 725 Se 202nd Ave, Portland, OR 97233-6105 | 2006-08-31 |
| 1508978537 | Marquis Companies I, Inc | Skilled Nursing Facility | 1475 Se 100th Ave, Portland, OR 97216-2537 | 2006-08-31 |
| 1942312905 | Marquis Companies I, Inc | Skilled Nursing Facility | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2006-08-31 |
| 1205841095 | Adventist Health System Texas, Inc. | Skilled Nursing Facility | 215 Highland Circle Dr, Portland, TN 37148-4918 | 2006-07-30 |
| 1629008651 | Harbor Care Corporation | Skilled Nursing Facility | 3540 Se Francis St, Portland, OR 97202-3350 | 2006-07-04 |
| 1114969912 | West Hills Convalescent Center Limited Partnership | Skilled Nursing Facility | 5701 Sw Multnomah Blvd, Portland, OR 97219-3195 | 2006-06-13 |
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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.