MARYVILLE NURSING HOME


Address: 14645 Sw Farmington Rd, Beaverton, OR 97007-2727
Phone: 5036438626

MARYVILLE NURSING HOME (NPI# 1285631036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285631036
Entity Type Organization
Organization Name MARYVILLE NURSING HOME
Practice Address 14645 Sw Farmington Rd
Beaverton
OR 97007-2727
Practice Telephone 5036438626
Practice Fax Number 5035201435
Mailing Telephone 5036438626
Mailing Fax Number 5035201435
Enumeration Date 2005-07-07
Last Update Date 2020-08-22
Authorized Official Name MRS. KATHLEEN PARRY (ADMINISTRATOR)
Authorized Official Telephone 5036438626
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 314000000X Skilled Nursing Facility OR Nursing & Custodial Care Facilities
X 313M00000X Nursing Facility/Intermediate Care Facility OR Nursing & Custodial Care Facilities
X 311500000X Alzheimer Center (Dementia Center) OR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 806745 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MARYVILLE NURSING HOME 14645 Sw Farmington Rd, Beaverton, OR 97007

Office Location

Street Address 14645 SW FARMINGTON RD
City BEAVERTON
State OR
Zip Code 97007-2727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831744119 Kyana Paratore Occupational Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2019-08-05
1235617705 Emily Kozlowski Occupational Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2018-08-06
1568958452 Olivia Michelle Arakawa Occupational Therapist 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2018-07-03
1053814087 Naomi J Beale Speech-Language Pathologist 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2018-03-15
1871002725 Kelly Anne Moore Occupational Therapist 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2017-09-22
1336681527 Amy M Czupryn Physical Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2016-11-05
1184096323 Jordan Horner Speech-Language Pathologist 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2015-10-27
1467835017 Mackie Marinello Physical Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2015-07-01
1891176061 Alexis Perez Occupational Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2015-06-14
1174904791 Akeakamai Rose Occupational Therapy Assistant 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2015-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891272225 Ben Shepherd Cohn Massage Therapist 16088 Sw Hillary Pl, Beaverton, OR 97007 2018-07-27
1013410455 Taryn Weslie Van Vliet Counselor Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 2018-03-12
1588181184 Sarah Rennalls Massage Therapist 16315 Sw Barrows Road #203, Beaverton, OR 97007 2017-08-24
1982137501 Patrick N Huynh Nurse Practitioner 14795 Sw Scholls Dr., Beaverton, OR 97007 2017-04-10
1841675428 Jessica C Moore Social Worker 4585 Sw185th Ave, Beaverton, OR 97007 2015-07-24
1205233913 Julie Guzman Case Manager/Care Coordinator 4585 Sw 185th Ave., Beaverton, OR 97007 2014-11-24
1255738183 Jennifer Kenedy Case Manager/Care Coordinator 4585 Sw 185th Avenue, Aloha, OR 97007 2014-11-20
1053754069 Dr Bob Health Centre Internal Medicine 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 2013-04-09
1518211713 Rosebelinda S Nelson Dental Hygienist 3895 Sw 18th Ave. #170, Aloha, OR 97007 2012-11-09
1073871240 Suzanne Mcreynolds Mechanotherapist 16784 Sw Vincent St, Beaverton, OR 97007 2012-04-25
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366469330 Beaverton Rehab & Specialty Care, LLC Skilled Nursing Facility 11850 Sw Allen Blvd, Beaverton, OR 97005-4805 2006-07-16
1437451572 Infinity Rehab Skilled Nursing Facility 11850 Sw Allen Blvd, Beaverton, OR 97005-4805 2010-11-23
1922095934 Sisters of St. Mary of Oregon - Maryville Corporation Skilled Nursing Facility 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 2005-10-04

Providers in the same taxonomy and state

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
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Competitor

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City BEAVERTON
Zip Code 97007

Improve Information

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Dataset Information

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.

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