Wood Village of Cascadia, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WOOD VILLAGE OF CASCADIA, LLC

Doing business as

Village Manor of Cascadia

Practice address

2060 NE 238TH Dr
Wood Village, OR 97060-1007

Phone

(503) 491-0553

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WOOD VILLAGE OF CASCADIA, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steve Laforte, ESQ.

Title

General Counsel

Phone

(206) 351-4535

Specialties & licenses 1

Addresses

Other names 1

• Village Manor of Cascadia Doing business as

Part of

Wood Village of Cascadia LLC

Locations

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1497492672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E RIVERSIDE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167621",
            "telephone_number": "208-781-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 NE 238TH DR",
            "city": "WOOD VILLAGE",
            "state": "OR",
            "postal_code": "970601007",
            "telephone_number": "503-491-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD VILLAGE OF CASCADIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOOD VILLAGE OF CASCADIA, LLC",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "LAFORTE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "206-351-4535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Manor of Cascadia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Wood Village, OR
• Providers in Wood Village, 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 May 18, 2022; 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.