NEWPORT REHABILITATION, LLC (NPI# 1184768772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184768772 |
| Entity Type | Organization |
| Organization Name | NEWPORT REHABILITATION, LLC |
| Other Organization Name | AVAMERE REHABILITATION OF NEWPORT |
| Practice Address |
835 Sw 11th St Newport OR 97365-4802 |
| Mailing Address |
25117 Sw Parkway Ave Suite F Wilsonville OR 97070-9697 |
| Practice Telephone | 5412655356 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | KARL MILLER JR. (CEO) |
| Authorized Official Telephone | 5035703405 |
| 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 |
|---|---|
| Avamere Rehabilitation of Newport | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NEWPORT REHABILITATION, LLC | 835 Sw 11th St, Newport, OR 97365 |
| Street Address |
835 SW 11TH ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730106774 | Newport Rehabilitation, Inc. | Skilled Nursing Facility | 835 Sw 11th St, Newport, OR 97365-4802 | 2006-07-16 |
| 1659867745 | Barbara A Hahn | Physical Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2018-07-02 |
| 1275993123 | Jerry Marsh | Physical Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2016-03-03 |
| 1417362054 | Aaron Miller | Physical Therapy Assistant | 835 Sw 11th St, Newport, OR 97365-4802 | 2014-06-23 |
| 1588959209 | Dpmbeckmannnror LLC | Podiatrist | 835 Sw 11th St, Newport, OR 97365-4802 | 2011-06-10 |
| 1043449606 | Linda Demont | Occupational Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2009-07-03 |
| 1316183981 | Heather Marie Hessler | Physical Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2009-01-01 |
| 1598927279 | Lorelei Jacinto Todd | Occupational Therapist | 835 Sw 11th St, Newport, OR 97365-4802 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| 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 |
|---|---|---|---|---|
| 1679739445 | Lisa Lyn Shover | Skilled Nursing Facility | 63 Spring St, Newport, VT 05855-5819 | 2008-07-31 |
| 1972691178 | Silver Corporation | Skilled Nursing Facility | 148 Prouty Dr, Newport, VT 05855-9513 | 2006-10-11 |
| 1730106774 | Newport Rehabilitation, Inc. | Skilled Nursing Facility | 835 Sw 11th St, Newport, OR 97365-4802 | 2006-07-16 |
| 1942236161 | River Neuse Group, LLC | Skilled Nursing Facility | 210 Foxhall Rd, Newport, NC 28570-6790 | 2006-06-23 |
| 1568416964 | Lindley Healthcare, LLC | Skilled Nursing Facility | 326 Lindley Ln, Newport, AR 72112-4948 | 2006-05-20 |
| 1407800089 | Southwest Homes | Skilled Nursing Facility | 1005 Mclain St, Newport, AR 72112-3529 | 2006-05-19 |
| 1902887029 | Heatherwood Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 398 Bellevue Ave, Newport, RI 02840 | 2005-11-07 |
| 1508854886 | Greenleaf Properties, Inc | Skilled Nursing Facility | 84 Pine St, Newport, NH 03773-2005 | 2005-10-11 |
| 1922096593 | Diversicare Pinedale, LLC | Skilled Nursing Facility | 1311 N Pecan St, Newport, AR 72112-2816 | 2005-10-07 |
| 1174091664 | Bearmt Newport, LLC | Skilled Nursing Facility | 148 Prouty Dr, Newport, VT 05855-9513 | 2018-11-02 |
| Find all providers in NEWPORT | ||||
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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.