Organization Active NPI

Rgo, LLC

  • Skilled Nursing Facility
  • Grants Pass, OR
National Provider Identifier
1285881375
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
500600944 Issued in OR
Legal business name
RGO, LLC
Practice address
2075 NW Highland Ave
Grants Pass, OR 97526-3310
Phone
(541) 476-8891
Fax
(541) 476-2679
NPI assigned
Aug 20, 2008
Organization subpart
Yes
Parent organization
PINNACLE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mr. Mark Garber
Title
Cfo
Phone
(541) 746-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 500600944 OR Primary

Addresses

Primary practice location

2075 NW Highland Ave
Grants Pass, OR 97526-3310

Mailing address

1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 746-1020

Other identifiers 1

IdentifierTypeStateIssuer
500600944MedicaidOR

Other names 1

  • Royale Gardens Health & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Part of
Pinnacle Healthcare Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1285881375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-746-1020",
            "fax_number": "541-746-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NW HIGHLAND AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263310",
            "telephone_number": "541-476-8891",
            "fax_number": "541-476-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, INC.",
        "enumeration_date": "2008-08-20",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-746-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "500600944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500600944",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royale Gardens Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.