Premier Living Center Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PREMIER LIVING CENTER INC.

Practice address

5120 SE 118TH Ave
Portland, OR 97266-3250

Phone

(503) 762-3413

Fax

(503) 762-3428

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Jen Schnitzer

Title

Director of Operations

Phone

(541) 601-7228

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Living Center Doing business as

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1669099768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 SE 154TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 SE 118TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972663250",
            "telephone_number": "503-762-3413",
            "fax_number": "503-762-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER LIVING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SCHNITZER",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "541-601-7228"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503908",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premier Care Chiropractic, LLC
• Premier Care Wellness Company
• Premise Health of Oregon Medical P C
• Premise Health of Oregon Medical P C
• Premise Health of Oregon Medical PC
• Janice C. Premo
• Valerie A Premore, MBA, PMP, CCRP

• Assisted Living Facility in Portland, OR
• Providers in Portland, 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 6, 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.