RSL Woodburn, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RSL WOODBURN, LLC

Doing business as

Emerald Gardens

Practice address

1890 Newberg Hwy
Woodburn, OR 97071-3100

Phone

(503) 982-4000

Fax

(503) 982-0139

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RADIANT COMPANIES, INC.As reported in NPPES

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

Authorized official

Name

James Guffee

Title

President of Manager

Phone

(503) 595-2810

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• EMERALD GARDENS Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1528684354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235505",
            "telephone_number": "503-595-2810",
            "fax_number": "503-595-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 NEWBERG HWY",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713100",
            "telephone_number": "503-982-4000",
            "fax_number": "503-982-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSL WOODBURN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIANT COMPANIES, INC.",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GUFFEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGER",
        "authorized_official_telephone_number": "503-595-2810"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525544",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY LICENSE",
            "identifier": "1642094909",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525545",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERALD GARDENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Rodriguez
• Noemy Rojas
• Priscila A Rosales Barrios
• Joel Rosano-Alvarez, M.A., C.A.D.C.1,
• Mandy M Ross
• Michele Ruiz
• Omar G Ruiz
• Vanja Rukavina
• Elaina Diane Rushing
• Carolina Ruvalcaba Lozano, HIS

• Assisted Living Facility in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.