Organization Active NPI

Mountain View Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1447447834
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1035854518 Issued in OR
Legal business name
MOUNTAIN VIEW REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
10435 SE Cora St
Portland, OR 97266-2331
Phone
(503) 760-1737
Fax
(503) 761-1582
NPI assigned
Sep 28, 2007
Organization subpart
Yes
Parent organization
ORIANNA HEALTH SYSTEMS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Craig E Robinson
Title
President
Phone
(901) 937-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1035854518 OR Primary

Addresses

Primary practice location

10435 SE Cora St
Portland, OR 97266-2331

Mailing address

10435 SE Cora St
Portland, OR 97266-2331
Phone (503) 760-1737

Other identifiers 1

IdentifierTypeStateIssuer
800750MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1447447834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662331",
            "telephone_number": "503-760-1737",
            "fax_number": "503-761-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662331",
            "telephone_number": "503-760-1737",
            "fax_number": "503-761-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIANNA HEALTH SYSTEMS, LLC",
        "enumeration_date": "2007-09-28",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1035854518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800750",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.