FMG SHORE DRIVE OREGON LLC (NPI# 1225427032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225427032 |
| Entity Type | Organization |
| Organization Name | FMG SHORE DRIVE OREGON LLC |
| Other Organization Name | MEADOW PARK HEALTH & SPECIALTY CARE CENTER |
| Practice Address |
75 Shore Dr Saint Helens OR 97051-1125 |
| Mailing Address |
5001 West Lemon Street C/o Focus Management Group Tampa FL 33609-1103 |
| Practice Telephone | 5033972713 |
| Practice Fax Number | 5033972669 |
| Mailing Telephone | 8132810062 |
| Mailing Fax Number | 8132810063 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | DAVID C. KEATING (SECRETARY AGENT) |
| Authorized Official Telephone | 4149088058 |
| 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 |
|---|---|
| Meadow Park Health & Specialty Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FMG SHORE DRIVE OREGON LLC | Two Plaza East Suite 1085, 330 East Kilbourn Avenue, Milwaukee, WI 53202 |
| Street Address |
75 SHORE DR |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649478710 | Jill Marie Ralston | Physical Therapist | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2007-07-10 |
| 1982247458 | Renell N Kumeh | Nurse Practitioner | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2019-10-28 |
| 1043724289 | Meadow Park Health - St. Helen, LLC | Skilled Nursing Facility | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2017-11-27 |
| 1124415716 | Jeff Conn | Speech-Language Pathologist | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2015-04-21 |
| 1417387945 | Jacquelyn Ann Matthews | Speech-Language Pathologist | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2013-11-19 |
| 1265862247 | Barbara Travis | Skilled Nursing Facility | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2013-11-12 |
| 1669800926 | Jennifer Murphy | Physical Therapist | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2013-10-24 |
| 1801096177 | Brittany Sue Best | Speech-Language Pathologist | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2007-07-24 |
| 1235338757 | Progressive Step Rehabilitation | Nursing Facility/Intermediate Care Facility | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| 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 |
|---|---|---|---|---|
| 1225469349 | Julia Mace | Skilled Nursing Facility | 255 N 18th St Apt 4, Saint Helens, OR 97051-1762 | 2013-11-30 |
| 1346313012 | Meadow Park Health - St. Helens, LLC | Skilled Nursing Facility | 75 Shore Drive, Saint Helens, OR 97051-1199 | 2006-11-17 |
| 1043724289 | Meadow Park Health - St. Helen, LLC | Skilled Nursing Facility | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2017-11-27 |
| 1265862247 | Barbara Travis | Skilled Nursing Facility | 75 Shore Dr, Saint Helens, OR 97051-1125 | 2013-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1689231383 | Marquis Companies I Inc | Skilled Nursing Facility | 410 Se Church Street, Sublimity, OR 97385 | 2019-05-29 |
| 1720528003 | Rashelle M Johnson | Skilled Nursing Facility | 2457 Ne Bobbi Pl, Prineville, OR 97754-9089 | 2017-03-06 |
| 1881133254 | Jessie Steele | Skilled Nursing Facility | 2693 Nw Crossing Dr, Bend, OR 97703-7347 | 2017-02-18 |
| 1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| 1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1508250762 | West Linn Care Ctr Operating Co, LLC | Skilled Nursing Facility | 2330 Deok Rd., West Linn, OR 97068-3902 | 2015-03-26 |
| 1568871770 | Keizer River Operations, LLC | Skilled Nursing Facility | 450 Clagett Ct. N, Keizer, OR 97303-4400 | 2014-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
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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.