MAPLE HOLLOW REHABILITATION AND NURSING LLC (NPI# 1114492519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492519 |
| Entity Type | Organization |
| Organization Name | MAPLE HOLLOW REHABILITATION AND NURSING LLC |
| Practice Address |
34 Ne 20th Ave Portland OR 97232-3019 |
| Practice Telephone | 5032310276 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | WALTER ERIC MYERS (MANAGING MEMBER) |
| Authorized Official Telephone | 8017094358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MAPLE HOLLOW REHABILITATION AND NURSING LLC | 34 Ne 20th Ave, Portland, OR 97232 |
| Street Address |
34 NE 20TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023670114 | Sapphire At Rose City, LLC | Nursing Facility/Intermediate Care Facility | 34 Ne 20th Ave, Portland, OR 97232-3019 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1679819411 | Rose Villa, Inc. | Nursing Facility/Intermediate Care Facility | 13505 Se River Rd, Portland, OR 97222-8038 | 2012-12-26 |
| 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.