Village Health Care I, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1124599635 Issued in OR

Legal business name

VILLAGE HEALTH CARE I, LLC

Practice address

3955 SE 182ND Ave
Gresham, OR 97030-5036

Phone

(503) 665-0183

Fax

(503) 666-6609

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alan Jesse Marcoff

Title

Controller

Phone

(503) 665-0183

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1629224449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305036",
            "telephone_number": "503-665-0183",
            "fax_number": "503-666-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305036",
            "telephone_number": "503-665-0183",
            "fax_number": "503-666-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALTH CARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MARCOFF",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "503-665-0183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "1124599635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800120",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Vestal, MS,CCC-SLP
• Vicki J Reichlein DMD PC (Hood View Dental)
• Sadie Vigeant
• Andrew E Vilius, PMHNP
• Village Health Care
• Village SNF Operations, LLC (Village Health Care)
• Jennifer Vinton-Vanarsdall, LCSW
• Leslye Y Virgen, SLP
• Visionworks Inc (Visionworks)
• Vistas Counseling, LLC

• Skilled Nursing Facility in Gresham, OR
• Providers in Gresham, 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 12, 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.