OCEAN PARK (NPI# 1437317229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437317229 |
| Entity Type | Organization |
| Organization Name | OCEAN PARK |
| Practice Address |
984 Parkview Dr Brookings OR 97415-9116 |
| Mailing Address |
Po Box 6988 Brookings OR 97415-0355 |
| Practice Telephone | 5414696817 |
| Mailing Telephone | 5414696817 |
| Mailing Fax Number | 5414693768 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | DR. JITENDRA C PATEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5414696817 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
1062291-7 | OR | Nursing & Custodial Care Facilities |
| Y | 311500000X | Alzheimer Center (Dementia Center) | 1062291-7 | OR | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OCEAN PARK | 984 Park View Dr, Brookings, OR 97415 |
| System for Award Management (SAM) Entities | OCEAN PARK | 125 Beach 17th St, Far Rockaway, NY 11691-4510 |
| New York State Corporations | OCEAN PARK 99 CENT PLUS INC. | 3918 18th Avenue, Brooklyn, New York 11218 |
| Washington State Corporations | OCEAN PARK ACQUISITIONS, LLC | 2101 Bay Ave, Ocean Park, WA 98640 |
| Connecticut Business Registrations | OCEAN PARK APARTMENTS, LLC | 810 Atlantic Street, Bridgeport, CT 06604 |
| Washington State Corporations | OCEAN PARK AREA CHAMBER OF COMMERCE | 1715 Bay Ave # 3, Ocean Park, WA 98640 |
| Washington State Corporations | OCEAN PARK ASSOCIATES LIMITED PARTNERSHIP | 403 Columbia St, Seattle, WA 98104 |
| Washington State Corporations | OCEAN PARK BEACH HOUSE LLC | 170 S Lincoln St Ste 100, Spokane, WA 99201-4443 |
| Oregon Corporations, Companies and Business Names | OCEAN PARK CARE PROPERTIES, LLC | 984 Parkview Dr, Brookings, OR 97415 |
| Virginia Business Entities | OCEAN PARK CIVIC LEAGUE INCORPORATED | Po Box 55385, Virginia Beach, Virginia 23471-9385 |
| Street Address |
984 PARKVIEW DR |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265512 | Ocean Park Memory Care | Alzheimer Center (Dementia Center) | 984 Parkview Dr, Brookings, OR 97415-9116 | 2017-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265512 | Ocean Park Memory Care | Alzheimer Center (Dementia Center) | 984 Parkview Dr, Brookings, OR 97415-9116 | 2017-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567502 | Bend Arbor, LLC | Alzheimer Center (Dementia Center) | 1290 Sw Silver Lake Blvd, Bend, OR 97702-2236 | 2020-10-28 |
| 1710504782 | Rsl Eugene, LLC | Alzheimer Center (Dementia Center) | 2730 Bailey Ln, Eugene, OR 97401-6923 | 2020-06-25 |
| 1427674852 | River Grove Operating Company, LLC | Alzheimer Center (Dementia Center) | 140 Green Ln, Eugene, OR 97404-2441 | 2020-06-22 |
| 1336765759 | West Salem Memory Care LLC | Alzheimer Center (Dementia Center) | 2030 Wallace Rd Nw, Salem, OR 97304-2123 | 2020-06-22 |
| 1205452638 | Wmc Operating Company, LLC | Alzheimer Center (Dementia Center) | 2325 N Boones Ferry Rd, Woodburn, OR 97071-9627 | 2020-06-22 |
| 1457977134 | Bridge Creek Investors LLC | Alzheimer Center (Dementia Center) | 1401 S 12th St, Lebanon, OR 97355-1201 | 2020-06-18 |
| 1013533710 | Valley View Investors LLC | Alzheimer Center (Dementia Center) | 112 Valley View Dr, John Day, OR 97845-1286 | 2020-06-18 |
| 1023634854 | Rsl Springfield, LLC | Alzheimer Center (Dementia Center) | 6135 E St, Springfield, OR 97478-7023 | 2020-06-17 |
| 1093331811 | Rsl Medford, LLC | Alzheimer Center (Dementia Center) | 1530 Poplar Dr, Medford, OR 97504-4612 | 2020-06-17 |
| 1760008684 | Rsl Gresham, LLC | Alzheimer Center (Dementia Center) | 1655 Ne 18th St, Gresham, OR 97030-4113 | 2020-06-17 |
| 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.