Active NPI
Hearthstone
- Skilled Nursing Facility
- Medford, OR
National Provider Identifier
1730386509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 SYSTEM
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808451 | Medicaid | OK |
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.
-
dba Asante Pharmacy
- Community/Retail Pharmacy
- Medford, OR
- NPI 1063458313
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
- Healthy Living at Home - Medford LLC
- Russell Hearing
- Jerry Eugene Hearns, D.C.
- Heart Clinic of Southern Oregon & Northern California PC
- Heart Studio LLC
- Hearthstone Operator, LLC (Hearthstone Nursing & Rehabilitation Center)
- Hearts With a Mission
- Scott Heath, PA
- Mallory Cheri Heaton
- Richard J Hebert, MD
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.