Active NPI
Geistlinger Enterprises Inc
- Mental Illness Intermediate Care Facility
- Portland, OR
National Provider Identifier
1821024977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- 115456
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38E157 | Other | OR | FEDERAL PROVIDER NUMBER |
| 800060 | Medicaid | OR |
Other names 1
- Rose City Nursing Home
National Provider Directory
National Provider DirectoryNPI 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.