Umpqua Valley Nursing & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

800068 Issued in OR

Legal business name

UMPQUA VALLEY NURSING & REHABILITATION CENTER, LLC

Doing business as

Umpqua Valley Nursing & Rehabilitation Center

Practice address

525 W Umpqua St
Roseburg, OR 97470-2952

Phone

(541) 677-2199

Fax

(541) 677-2126

NPI assigned

Jul 5, 2005

Last updated

Feb 23, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Garber

Title

Chief Financial Officer

Phone

(541) 746-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Umpqua Valley Nursing & Rehabilitation Center Doing business as

Part of

Pinnacle Healthcare Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Healthcare, Inc.

  • Pediatric Skilled Nursing Facility
  • Springfield, OR
  • NPI 1649348236
  NPPES parent name

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1598762643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-746-1020",
            "fax_number": "541-284-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W UMPQUA ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702952",
            "telephone_number": "541-677-2199",
            "fax_number": "541-677-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA VALLEY NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, INC.",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-746-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800068",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Umpqua Valley Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Under Pressure Massage LLC (Under Pressure Massage Therapy)
• Ashlyn Taylor Underwood
• United Community Action Network (Douglas County WIC)

• Skilled Nursing Facility in Roseburg, OR
• Providers in Roseburg, 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 Feb 23, 2015; 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.