MARTINS MANOR (NPI# 1396287702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396287702 |
| Entity Type | Organization |
| Organization Name | MARTINS MANOR |
| Practice Address |
1115 Sw Nye Ave Pendleton OR 97801-9405 |
| Mailing Address |
1115 Sw Nye Ave Pendleton OR 97801 |
| Practice Telephone | 5414294146 |
| Mailing Telephone | 5414294146 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | MR. MICHAEL KING II (OWNER) |
| Authorized Official Telephone | 5414294146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 519145 | OR | Respite Care Facility |
| Street Address |
1115 SW NYE AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316402589 | Pioneer Relief Nursery Inc | Respite Care | 1312 Sw 2nd St, Pendleton, OR 97801-4160 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659770568 | Luke-dorf | Respite Care | 20988 Sw Sister Ln, Beaverton, OR 97006-6028 | 2014-08-15 |
| 1790113868 | Bobette Dale Young | Respite Care | 5110 Sturdivant Ave, Klamath Falls, OR 97603-8014 | 2013-10-28 |
| 1720323835 | Community Counseling Solutions | Respite Care | 194 Ford Road, John Day, OR 97845 | 2012-11-29 |
| 1144523275 | Havenhill Inc | Respite Care | 555 Misty Hill Ln Se, Salem, OR 97306-9854 | 2010-12-11 |
| 1548561566 | Community Counseling Solutions | Respite Care | 68982 Willow Creek Drive, Heppner, OR 97836 | 2010-11-08 |
| 1740477785 | Pat Pendleys Jamaerobics Inc | Respite Care | 340 1st Ave E, Albany, OR 97321-2211 | 2007-10-03 |
| 1356438592 | Columbiacare Services | Respite Care | 1885 Thompson Rd, Coos Bay, OR 97420-2152 | 2006-10-09 |
| 1013355601 | Stephanie Twellman | Respite Care | 1118 Oak St Se, Salem, OR 97301-4019 | 2013-06-05 |
| 1164865499 | Ralph and Millie's Place, Inc. | Respite Care | 220 Cinbar Dr, Roseburg, OR 97471-9385 | 2013-04-17 |
| 1417183906 | Lifeways, Inc | Respite Care | 290 Willamette St, Umatilla, OR 97882-6601 | 2009-06-10 |
| Find all providers with the same taxonomy | ||||
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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.