Organization Active NPI

Care Center (Nehalem) Inc.

Doing business as Nehalem Valley Care Center

  • Skilled Nursing Facility
  • Wheeler, OR
National Provider Identifier
1528054814
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARE CENTER (NEHALEM) INC.
Doing business as
Nehalem Valley Care Center
Practice address
280 Rowe St
Wheeler, OR 97147
Phone
(503) 368-5171
Fax
(503) 368-5140
NPI assigned
Sep 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory J Vislocky
Title
Exec. VP of Finance
Phone
(360) 735-7155

Specialties & licenses 1

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

Addresses

Primary practice location

280 Rowe St
Wheeler, OR 97147

Mailing address

7700 NE Parkway Dr
Suite 300
Vancouver, WA 98662-6648
Phone (360) 735-7155

Other identifiers 1

IdentifierTypeStateIssuer
800573MedicaidOR

Other names 1

  • Nehalem Valley Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Center Nehalem Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528054814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "360-735-7155",
            "fax_number": "360-735-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROWE ST",
            "city": "WHEELER",
            "state": "OR",
            "postal_code": "97147",
            "telephone_number": "503-368-5171",
            "fax_number": "503-368-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER (NEHALEM) INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXEC. VP OF FINANCE",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800573",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nehalem Valley Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeler, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.