Organization Active NPI

Geistlinger Enterprises Inc

  • Mental Illness Intermediate Care Facility
  • Portland, OR
National Provider Identifier
1821024977
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
115456 Issued in OR
Legal business name
GEISTLINGER ENTERPRISES INC
Practice address
34 NE 20TH
Portland, OR 97232
Phone
(503) 231-0276
Fax
(503) 238-8678
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Anita Geistlinger
Title
Sec Tres
Phone
(503) 231-0276

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 115456 OR Primary
Mental Illness Intermediate Care Facility 310500000X 1137257158 OR

Addresses

Primary practice location

34 NE 20TH
Portland, OR 97232

Mailing address

PO Box 1980
Grisham, OR 97030
Phone (503) 231-0276

Other identifiers 2

IdentifierTypeStateIssuer
38E157OtherORFEDERAL PROVIDER NUMBER
800060MedicaidOR

Other names 1

  • Rose City Nursing Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1821024977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1980",
            "city": "GRISHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-231-0276",
            "fax_number": "503-238-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NE 20TH",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97232",
            "telephone_number": "503-231-0276",
            "fax_number": "503-238-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISTLINGER ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GEISTLINGER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "SEC TRES",
        "authorized_official_telephone_number": "503-231-0276"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "OR",
            "license": "115456",
            "primary": true
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "OR",
            "license": "1137257158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL PROVIDER NUMBER",
            "identifier": "38E157",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800060",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.