EVERGREEN OREGON HEALTHCARE SALEM, L.L.C.


Address: 820 Cottage St Ne, Salem, OR 97301-2426
Phone: 5033991135

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 1677 OR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OR 800001 05

Other Provider/Organization Names

Other Name Type Code
Windsor Health and Rehabilitation Center Doing Business As Name - Organization

Other Data Sources

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

Office Location

Street Address 820 COTTAGE ST NE
City SALEM
State OR
Zip Code 97301-2426

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City SALEM
Zip Code 97301

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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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