Sheridan Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SHERIDAN CARE CENTER LLC

Practice address

411 SE Sheridan Rd
Sheridan, OR 97378-1938

Phone

(503) 843-2204

Fax

(503) 843-4612

NPI assigned

May 24, 2006

Last updated

Jan 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. Kent M Emry, BHA, HCA

Title

Member

Phone

(503) 585-0200

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1316992647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SE SHERIDAN RD",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781938",
            "telephone_number": "503-843-2204",
            "fax_number": "503-843-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SE SHERIDAN RD",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781938",
            "telephone_number": "503-843-2204",
            "fax_number": "503-843-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "EMRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-585-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BHA, HCA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800092",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elaine V. Schloeder, RDH
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• Sheridan Fire District
• Sheridan Pharmacy, Inc (Sheridan Pharmacy 1155)
• Sheridan Pharmacy, Inc (Sheridan Pharmacy 1155)
• Sheridan School District 48J

• Skilled Nursing Facility in Sheridan, OR
• Providers in Sheridan, OR by specialty
• Skilled Nursing Facility in Oregon

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