Organization Active NPI

Parkland Village Limited Partnership

  • Assisted Living Facility
  • McMinnville, OR
National Provider Identifier
1952562092
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1249996363 Issued in OR
Legal business name
PARKLAND VILLAGE LIMITED PARTNERSHIP
Doing business as
Parkland Village Assisted Living
Practice address
3121 NE Cumulus Ave
McMinnville, OR 97128-6253
Phone
(503) 435-1499
Fax
(503) 435-2940
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Elizabeth Marie Moss
Title
Director of Risk Management
Phone
(503) 588-2725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1249996363 OR Primary

Addresses

Primary practice location

3121 NE Cumulus Ave
McMinnville, OR 97128-6253

Mailing address

200 Hawthorne Ave SE Ste A140
Salem, OR 97301-5092
Phone (503) 588-2725

Other identifiers 1

IdentifierTypeStateIssuer
500938MedicaidOR

Other names 1

  • Parkland Village Assisted Living 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": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1952562092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE AVE SE STE A140",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015092",
            "telephone_number": "503-588-2725",
            "fax_number": "503-588-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 NE CUMULUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286253",
            "telephone_number": "503-435-1499",
            "fax_number": "503-435-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND VILLAGE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "503-588-2725"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "1249996363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500938",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Village Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.