PINECREST SENIOR VILLA (NPI# 1679998447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998447 |
| Entity Type | Organization |
| Organization Name | PINECREST SENIOR VILLA |
| Practice Address |
1808 Se 182nd Ave Portland OR 97233-5120 |
| Mailing Address |
1775 Hancock St Ste 200 San Diego CA 92110-2036 |
| Practice Telephone | 5034654425 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | DEEPAK ISRANI (GENERAL MANAGER) |
| Authorized Official Telephone | 6192969000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PINECREST SENIOR VILLA | 1808 Se 182nd Ave, Portland, OR 97233 |
| Street Address |
1808 SE 182ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427092683 | David Gerald Hibbs | Registered Nurse | 1808 Se 182nd Ave, Portland, OR 97233-5120 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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 |
|---|---|---|---|---|
| 1700428687 | Melody Court Memory Care, LLC | Alzheimer Center (Dementia Center) | 5732 Se 122nd Ave, Portland, OR 97236-4604 | 2019-10-12 |
| 1083012108 | Marcia Kerensky, Md | Alzheimer Center (Dementia Center) | 1804 Sw Pendleton St, Portland, OR 97239-2050 | 2014-12-06 |
| 1316362189 | St. Andrews Memory Care | Alzheimer Center (Dementia Center) | 7617 Se Main St, Portland, OR 97215-3075 | 2014-03-03 |
| 1730369349 | Emerson House | Alzheimer Center (Dementia Center) | 3577 Se Division St, Portland, OR 97202-1561 | 2007-11-12 |
| 1477880870 | Pcal, LLC | Alzheimer Center (Dementia Center) | 68 Devonshire St, Portland, ME 04103-4431 | 2009-11-06 |
| 1427283514 | 68 Devonshire Street | Alzheimer Center (Dementia Center) | 68 Devonshire St, Portland, ME 04103-4431 | 2009-05-19 |
| 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 | ||||
Please comment or provide details below to improve the information on PINECREST SENIOR VILLA.
| 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.