Maryville Nursing Home

LBN: Maryville Nursing Home
Maryville Nursing Home is an health care organization with primary practice located at 14645 Sw Farmington Rd , Beaverton OR 97007-2727. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Maryville Nursing Home can be contacted via phone (503) 643-8626, or through Parry, Kathleen via phone (503) 643-8626.

Contact Information

Primary practice address
14645 Sw Farmington Rd Beaverton OR 97007-2727
Phone: (503) 643-8626
Fax: (503) 520-1435
Website:
Map and Directions
Authorized official contact:
Name: Parry, Kathleen
Phone: (503) 643-8626

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X Oregon
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Oregon
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Oregon

Profile Details

NPI number 1285631036
LBN Legal business name Maryville Nursing Home
DBA Doing business as
Authorized official Parry, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 22nd, 2020 - about 6 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 1285631036 NPPES
Oregon MEDICAID 806745

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