EVERGREEN OREGON HEALTHCARE SALEM, L.L.C. (NPI# 1760430482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760430482 |
Entity Type | Organization |
Organization Name | EVERGREEN OREGON HEALTHCARE SALEM, L.L.C. |
Other Organization Name | WINDSOR HEALTH AND REHABILITATION CENTER |
Practice Address |
820 Cottage St Ne Salem OR 97301-2426 |
Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6736 |
Practice Telephone | 5033991135 |
Practice Fax Number | 5033997273 |
Mailing Telephone | 3608926628 |
Mailing Fax Number | 3608825793 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2017-01-30 |
Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
Authorized Official Telephone | 3608926628 |
Is Organization Subpart | Y |
Parent Organization Name | EMPRES OREGON HEALTHCARE, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1677 | OR | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 800001 | 05 |
Other Name | Type Code |
---|---|
Windsor Health and Rehabilitation Center | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | EVERGREEN OREGON HEALTHCARE SALEM, L.L.C. | 820 Cottage St Ne, Salem, OR 97302 |
Street Address |
820 COTTAGE ST NE |
City | SALEM |
State | OR |
Zip Code | 97301-2426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942841747 | Carmen Martinez Valenzuela | Occupational Therapy Assistant | 820 Cottage St Ne, Salem, OR 97301-2426 | 2019-10-02 |
1467918326 | Kelsey Jane Anderson | Physical Medicine & Rehabilitation | 820 Cottage St Ne, Salem, OR 97301-2426 | 2019-02-15 |
1558851352 | Dustin Bernard | Physical Therapist | 820 Cottage St Ne, Salem, OR 97301-2426 | 2018-05-16 |
1598285652 | Rachel Groves | Physical Therapy Assistant | 820 Cottage St Ne, Salem, OR 97301-2426 | 2017-06-20 |
1659816379 | Tam Le | Occupational Therapist | 820 Cottage St Ne, Salem, OR 97301-2426 | 2017-01-04 |
1649639345 | Chandree Leigh Van Vranken | Physical Medicine & Rehabilitation | 820 Cottage St Ne, Salem, OR 97301-2426 | 2016-02-23 |
1811232630 | Karen J Macleod | Occupational Therapy Assistant | 820 Cottage St Ne, Salem, OR 97301-2426 | 2012-12-05 |
1104181841 | Debralee Grey | Speech-Language Pathologist | 820 Cottage St Ne, Salem, OR 97301-2426 | 2012-07-09 |
1376842930 | Thomas George Lawrence | Speech-Language Pathologist | 820 Cottage St Ne, Salem, OR 97301-2426 | 2011-03-22 |
1003143009 | Barbara Lynette Wagner | Occupational Therapist | 820 Cottage St Ne, Salem, OR 97301-2426 | 2009-11-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
Find all providers in zip 97301 |
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 |
---|---|---|---|---|
1518466580 | Continental II Leasing Co., LLC | Skilled Nursing Facility | 230 Continental Drive, Salem, OH 44460 | 2018-02-06 |
1447759410 | Continental I Leasing Co., LLC | Skilled Nursing Facility | 250 Continental Drive, Salem, OH 44460 | 2018-02-06 |
1063969988 | Set Op Co | Skilled Nursing Facility | 1220 20th St Se, 310, Salem, OR 97302-1205 | 2016-09-08 |
1710336672 | Lauren Biamont | Skilled Nursing Facility | 5748 Smoketree Dr Se, Salem, OR 97306-1260 | 2016-06-10 |
1659710549 | Taos Nm Senior Living, LLC | Skilled Nursing Facility | 2735 12th St Se, Suite 100, Salem, OR 97302-3186 | 2013-06-24 |
1700120292 | Wakefield Care and Rehab Center | Skilled Nursing Facility | 21 Gardner St, Apt 2, Salem, MA 01970-4852 | 2012-11-21 |
1669783171 | Genesis Rehab | Skilled Nursing Facility | 2511 Bently Road, Salem, OH 44460 | 2010-06-30 |
1992034557 | Salem Healthcare and Rehabilitation Center | Skilled Nursing Facility | 1985 E Pershing St, Salem, OH 44460-3411 | 2009-12-10 |
1215071998 | South Salem Rehabilitation, LLC | Skilled Nursing Facility | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2007-02-16 |
1730254095 | Helia Healthcare of Salem LLC | Skilled Nursing Facility | 1201 Hawthorn Rd, Salem, IL 62881-1028 | 2006-11-22 |
Find all providers in SALEM |
Please comment or provide details below to improve the information on EVERGREEN OREGON HEALTHCARE SALEM, L.L.C..
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.