Active NPI
Mountain View Rehabilitation and Healthcare Center, LLC
- Skilled Nursing Facility
- Portland, OR
National Provider Identifier
1447447834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1035854518
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800750 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI 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.