Organization Active NPI

Hearthstone

  • Skilled Nursing Facility
  • Medford, OR
National Provider Identifier
1730386509
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HEARTHSTONE
Practice address
2901 E Barnett Rd
Medford, OR 97504-8308
Phone
(541) 789-4472
NPI assigned
Jun 27, 2007
Organization subpart
Yes
Parent organization
ASANTE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Marvin D Haas
Title
Cfo
Phone
(541) 789-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2901 E Barnett Rd
Medford, OR 97504-8308

Mailing address

2901 E Barnett Rd
Medford, OR 97504-8308
Phone (541) 789-4472

Other identifiers 1

IdentifierTypeStateIssuer
808451MedicaidOK

National Provider Directory

National Provider Directory
Part of
Jacksonville Clinic

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1730386509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048308",
            "telephone_number": "541-789-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048308",
            "telephone_number": "541-789-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASANTE HEALTH SYSTEM",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "541-789-4103"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808451",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.