Organization Active NPI

Rose Arbor Inc

Doing business as Rose Arbor Assisted Living Facility

  • Assisted Living Facility
  • Hermiston, OR
National Provider Identifier
1558579813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1312 Issued in OR
Legal business name
ROSE ARBOR INC
Doing business as
Rose Arbor Assisted Living Facility
Practice address
540 NW 12TH St
Hermiston, OR 97838
Phone
(541) 564-9070
Fax
(541) 564-8178
NPI assigned
May 18, 2007
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
Mrs. Paula Mae Oltman, RN MS
Title
Administrator President
Phone
(541) 564-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1312 OR Primary

Addresses

Primary practice location

540 NW 12TH St
Hermiston, OR 97838

Mailing address

540 NW 12TH St
Hermiston, OR 97838
Phone (541) 564-9070

Other names 1

  • Rose Arbor Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558579813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW 12TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "97838",
            "telephone_number": "541-564-9070",
            "fax_number": "541-564-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW 12TH ST",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "97838",
            "telephone_number": "541-564-9070",
            "fax_number": "541-564-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ARBOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLTMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "541-564-9070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MS"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Arbor Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermiston, 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.