Oregon Manor LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2604 Issued in WI

Legal business name

OREGON MANOR LTD

Practice address

354 N. Main Street
Oregon, WI 53575

Phone

(608) 835-3535

Fax

(608) 835-3890

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rick A Scollon, NHA

Title

Administrator

Phone

(608) 835-3535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114001666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 N. MAIN STREET",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "53575",
            "telephone_number": "608-835-3535",
            "fax_number": "608-835-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N. MAIN STREET",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "53575",
            "telephone_number": "608-835-3535",
            "fax_number": "608-835-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MANOR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOLLON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-835-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20100100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Dental Professionals LLC
• Oregon Family Eye Care, LLC
• Oregon Healthcare LLC (Oregon Healthcare and Rehabilitation Center)
• Oregon Hometown Pharmacy LLC (Oregon Hometown Pharmacy)
• Oregon Manor
• Oregon Mental Health Services
• Oregon Mental Health Services,LLC
• Oregon Mental Health SVS
• Oregon School District
• Michelle Owens

• Skilled Nursing Facility in Oregon, WI
• Providers in Oregon, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.