Organization Active NPI

CML Inc

  • Nursing Facility/Intermediate Care Facility
  • Salem, OR
National Provider Identifier
1386631422
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
805788 Issued in OR
Legal business name
CML INC
Practice address
4254 Weathers St NE
Salem, OR 97301-1933
Phone
(503) 585-4602
Fax
(503) 585-6002
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Ms. Lori Lassen
Title
Executive Director
Phone
(503) 585-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 805788 OR Primary

Addresses

Primary practice location

4254 Weathers St NE
Salem, OR 97301-1933

Mailing address

4254 Weathers St NE
Salem, OR 97301-1933
Phone (503) 585-4602

Other identifiers 1

IdentifierTypeStateIssuer
805788MedicaidOR

Other names 1

  • Tierra Rose Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0625576Tierra Rose Care Center4254 Weathers St NE, Salem, OR 97301Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1386631422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 WEATHERS ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011933",
            "telephone_number": "503-585-4602",
            "fax_number": "503-585-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 WEATHERS ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011933",
            "telephone_number": "503-585-4602",
            "fax_number": "503-585-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CML INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "LASSEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-585-4602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": "805788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805788",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tierra Rose Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.