Arleta Sherwood Park Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARLETA SHERWOOD PARK OPERATIONS LLC

Practice address

4062 Arleta Ave NE
Keizer, OR 97303-4758

Phone

(503) 390-2271

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Brian Newberry

Title

Ceo

Phone

(801) 899-5364

Specialties & licenses 1

Addresses

Other names 1

• The Oaks at Sherwood Park Doing business as

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1780159194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31351 RANCHO VIEJO RD STE 102",
            "city": "SAN JUAN CAPO",
            "state": "CA",
            "postal_code": "926751857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 ARLETA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034758",
            "telephone_number": "503-390-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLETA SHERWOOD PARK OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-899-5364"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Oaks at Sherwood Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Keizer, OR
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.