Active NPI
Oregon Care, LLC
- Skilled Nursing Facility
- Oregon, OH
National Provider Identifier
1164593778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- OREGON CARE, LLC
- Practice address
- 904 Isaac Streets Dr
Oregon, OH 43616-3204 - Phone
- (419) 691-2483
- Fax
- (419) 697-5401
- NPI assigned
- Nov 13, 2006
- 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
- Donna Jo Maassen
- Title
- Director of Compliance
- Phone
- (414) 908-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
904 Isaac Streets Dr
Oregon, OH 43616-3204
Mailing address
111 W Michigan St
Milwaukee, WI 53203-2903
Phone (414) 908-8119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256486 | Medicaid | OH |
Other names 1
- Arbors at Oregon
National Provider Directory
National Provider Directory- Tax ID family
- Arbors at Oregon
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Oregon, OH
- NPI 1962800839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206835200000",
"number": "1164593778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MICHIGAN ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532032903",
"telephone_number": "414-908-8119",
"fax_number": "414-908-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 ISAAC STREETS DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163204",
"telephone_number": "419-691-2483",
"fax_number": "419-697-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2008-03-30",
"status": "A",
"authorized_official_last_name": "MAASSEN",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "414-908-8119"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256486",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arbors at Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.