Meadow Park Health - St. Helens, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEADOW PARK HEALTH - ST. HELENS, LLC

Practice address

75 Shore Drive
Saint Helens, OR 97051-1199

Phone

(503) 397-2713

Fax

(503) 397-2669

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dov E. Jacobs

Title

Manager

Phone

(323) 678-4426

Specialties & licenses 1

Addresses

Other names 1

• Meadow Park Health & Specialty Care Center Doing business as

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1346313012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 ROSEDALE ST NW STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHORE DRIVE",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511199",
            "telephone_number": "503-397-2713",
            "fax_number": "503-397-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW PARK HEALTH - ST. HELENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-678-4426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Park Health & Specialty Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Philip McGraw, CADC-R
• Kathleen A McLaughlin, LMT
• Bonnie Lynne McLellan, CNM
• Katie Rose McMahon, CSW
• Meadow Park Health - St. Helen, LLC
• Medicine Wheel Recovery Services, Inc.
• Lisa Ann Meere
• Florence Mercado-Garcia, RN
• Alisha Miller
• Mark N Miller, MD

• Skilled Nursing Facility in Saint Helens, OR
• Providers in Saint Helens, 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 Nov 15, 2017; 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.