Active NPI
Oregon Healthcare LLC
- Assisted Living Facility
- Oregon, WI
National Provider Identifier
1699396267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OREGON HEALTHCARE LLC
- Practice address
- 354 N Main St
Oregon, WI 53575-1426 - Phone
- (608) 835-3535
- Fax
- (608) 835-3890
- NPI assigned
- May 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig D Taylor
- Title
- President, Oregon Healthcare LLC
- Phone
- (423) 308-1845
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
354 N Main St
Oregon, WI 53575-1426
Mailing address
801 Broad St Ste 300
Chattanooga, TN 37402-2668
Phone (423) 424-1859
Other names 1
- Oregon Healthcare and Rehabilitation Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1699396267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 BROAD ST STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374022668",
"telephone_number": "423-424-1859",
"fax_number": "423-308-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 N MAIN ST",
"city": "OREGON",
"state": "WI",
"postal_code": "535751426",
"telephone_number": "608-835-3535",
"fax_number": "608-835-3890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT, OREGON HEALTHCARE LLC",
"authorized_official_telephone_number": "423-308-1845",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Healthcare and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.