Active NPI
Rgo, LLC
- Skilled Nursing Facility
- Grants Pass, OR
National Provider Identifier
1285881375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 500600944
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500600944 | Medicaid | OR |
Other names 1
- Royale Gardens Health & Rehabilitation Center
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.
-
- Pediatric Skilled Nursing Facility
- Springfield, OR
- NPI 1649348236
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.