Rex Road Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

REX ROAD HEALTHCARE LLC

Doing business as

Mt. Angel Orchard House

Practice address

550 S Main St
Mount Angel, OR 97362-9540

Phone

(503) 845-2544

NPI assigned

Feb 11, 2025

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Secretary

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Mt. Angel Orchard House Doing business as

Tax ID family

Mt Angel Health and Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rex Road Healthcare LLC

  • Skilled Nursing Facility
  • Mount Angel, OR
  • NPI 1376370197
  NPD tax ID

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1184439796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629540",
            "telephone_number": "503-845-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MAIN ST",
            "city": "MOUNT ANGEL",
            "state": "OR",
            "postal_code": "973629540",
            "telephone_number": "503-845-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX ROAD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Angel Orchard House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Health & Services Oregon
• Providence Health & Services-Oregon (Providence Benedictine Hospice)
• Mayda Ramos, M.D.
• Rhett Leeland Randall, PT
• Theresa Huitinga Raudsepp, PT
• Rex Road Healthcare LLC
• Amy Roth, OTR/L
• Kelly Lynn Rush, OTR
• Gabriel Sausville
• William Donald Schaefer, DMD

• Assisted Living Facility in Mount Angel, OR
• Providers in Mount Angel, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.