Prestige Care & Rehabilitation - Menlo Park

LBN: Care Center (Menlo Park) Inc.
Prestige Care & Rehabilitation - Menlo Park is an health care organization with primary practice located at 745 Ne 122Nd Ave , Portland OR 97230-2001. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Care Center (Menlo Park) Inc. can be contacted via phone (503) 252-0241, or through Vislocky, Gregory J via phone (360) 816-8295.

Contact Information

Primary practice address
745 Ne 122Nd Ave Portland OR 97230-2001
Phone: (503) 252-0241
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 816-8295

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1609124551
LBN Legal business name Care Center (Menlo Park) Inc.
DBA Doing business as Prestige Care & Rehabilitation - Menlo Park
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2012
Last updated Nov 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609124551 NPPES
Oregon MEDICAID 500648667

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