Tualitin Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TUALITIN SENIOR CARE LLC

Doing business as

River Valley Landing

Practice address

19200 SW 65TH Avenue
Tualatin, OR 97062-8875

Phone

(503) 692-3192

NPI assigned

Mar 31, 2007

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 3

Addresses

Other names 1

• River Valley Landing Doing business as

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1598885501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19200 SW 65TH AVENUE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628875",
            "telephone_number": "503-692-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUALITIN SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "1459865808",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OR",
            "license": "1172390222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tualatin Pediatric Dentistry
• Tualatin Physical Therapy & Sports Rehab Inc
• Jasmine C Turley
• John Robert Turner
• Sarah Ann Tycast, MD
• TZ Medical Monitoring Solutions LLC
• Makoto Uchiyama, D.O.

• Assisted Living Facility in Tualatin, OR
• Providers in Tualatin, 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 Jul 14, 2008; 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.