Active NPI
Meadow Park Health - St. Helen, LLC
- Skilled Nursing Facility
- Saint Helens, OR
National Provider Identifier
1043724289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MEADOW PARK HEALTH - ST. HELEN, LLC
- Practice address
- 75 Shore Dr
Saint Helens, OR 97051-1125 - Phone
- (503) 397-2713
- Fax
- (503) 397-2713
- NPI assigned
- Nov 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Jacobs
- Title
- Manager
- Phone
- (323) 678-4426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
75 Shore Dr
Saint Helens, OR 97051-1125
Mailing address
3220 Rosedale St NW Ste 200
Gig Harbor, WA 98335-1837
Other names 1
- Meadow Park Health & Specialty Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1043724289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 ROSEDALE ST NW STE 200",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SHORE DR",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970511125",
"telephone_number": "503-397-2713",
"fax_number": "503-397-2713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOW PARK HEALTH - ST. HELEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-27",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "323-678-4426"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadow Park Health & Specialty Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.