Care Center (Chehalem) Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CARE CENTER (CHEHALEM) INC

Doing business as

Chehalem Health & Rehab Center

Practice address

1900 Fulton St
Newberg, OR 97132-1806

Phone

(503) 538-2108

Fax

(503) 538-1768

NPI assigned

Sep 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Chehalem Health & Rehab Center Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598751992",
    "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": "360-735-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FULTON ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321806",
            "telephone_number": "503-538-2108",
            "fax_number": "503-538-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER (CHEHALEM) INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "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": "800027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chehalem Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Lee Calvert, MD
• Sage Isis Cambri, MA, AS, CADC I
• Charles Robert Campbell IV, DO
• Clark Daniel Campbell, PHD
• Larry A Caramella, BA CADC
• Care Link Transportation
• Sara Carlstrom, LMT
• Daniel D Carpenter, PSYD
• Samuel Jeffrey Carpentier, MD, PHD
• Lindsay Rae Carr, LMT, C.A

• Skilled Nursing Facility in Newberg, OR
• Providers in Newberg, 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 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.