Suzanne Elise Assisted Living Facility

LBN: Forest Drive Operations, Llc
Suzanne Elise Assisted Living Facility is an health care organization with primary practice located at 101 Forest Dr , Seaside OR 97138-7867. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Forest Drive Operations, Llc can be contacted via phone (503) 738-0307, or through Miller, Karl Rickard via phone (503) 570-3405.

Contact Information

Primary practice address
101 Forest Dr Seaside OR 97138-7867
Phone: (503) 738-0307
Fax: (503) 717-8102
Website:
Map and Directions
Authorized official contact:
Name: Miller, Karl Rickard
Phone: (503) 570-3405

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 1847571968 Oregon

Profile Details

NPI number 1306001474
LBN Legal business name Forest Drive Operations, Llc
DBA Doing business as Suzanne Elise Assisted Living Facility
Authorized official Miller, Karl Rickard
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2008
Last updated Jul 28th, 2008 - about 17 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 1306001474 NPPES
Oregon MEDICAID 517786

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