AVALON HEALTH CARE - ROSE HAVEN, LLC (NPI# 1952850760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952850760 |
| Entity Type | Organization |
| Organization Name | AVALON HEALTH CARE - ROSE HAVEN, LLC |
| Other Organization Name | ROSE HAVEN NURSING CENTER |
| Practice Address |
740 Nw Hill Ave Roseburg OR 97471-1672 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-4740 |
| Practice Telephone | 8015968844 |
| Mailing Telephone | 8015968844 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | FAYE LINCOLN (SVP GOVERNMENT RELATIONS) |
| Authorized Official Telephone | 8015968844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rose Haven Nursing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225581242 | Avalon Health Care - Rose Haven, LLC | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2016-07-26 |
| Street Address |
740 NW HILL AVE |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106069 | Fisher Care, Inc. | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2005-07-05 |
| 1225581242 | Avalon Health Care - Rose Haven, LLC | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2016-07-26 |
| 1982076055 | California Emergency Physicians Medical Group, A Professional Corp. | Internal Medicine | 740 Nw Hill Ave, Roseburg, OR 97471-1672 | 2015-10-28 |
| 1780844993 | Kristoffer Scott Johns | Speech-Language Pathologist | 740 Nw Hill Ave, Roseburg, OR 97470-1672 | 2008-06-11 |
| 1245406156 | Rose Haven | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97470-1672 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450651 | Neha Rupal Naik | Internal Medicine | 2925 River Road South, Suite 110, Salem, OR 97302 | 2014-05-21 |
| 1346526548 | Geriatric and Nursing Home | Internal Medicine | 441 Silverado Cir, Medford, OR 97504-8167 | 2011-11-01 |
| 1831353226 | Sonal Sonia Thakur | Internal Medicine | 19565 Aster Ln, Bend, OR 97702-2111 | 2008-07-15 |
| 1093916470 | Kellie Rooney Foster | Internal Medicine | 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 | 2007-05-31 |
| 1447310859 | Karen Kruse | Internal Medicine | 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 | 2006-12-08 |
| 1083729214 | Stephen Arnold Ebert | Internal Medicine | 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 | 2006-08-20 |
| 1326152935 | Frances May Yuhas | Internal Medicine | 818 W 6th St Ste 4, The Dalles, OR 97058-1147 | 2006-08-19 |
| 1609892736 | Paul Gowen | Internal Medicine | 3635 Ne Alameda St, Portland, OR 97212-1812 | 2006-07-14 |
| 1669418810 | Douglas Reed Grossnickle | Internal Medicine | 10373 Ne Hancock, Suite 219, Portland, OR 97220 | 2006-06-22 |
| 1821030552 | Steven Delashmutt | Internal Medicine | 3640 H St, Baker City, OR 97814-1278 | 2006-06-10 |
| 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.