Greenridge Estates Operating Llc

LBN: Greenridge Estates Operating Llc
Greenridge Estates Operating Llc is an health care organization with primary practice located at 4 Greenridge Dr , Lake Oswego OR 97035-1400. 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. Greenridge Estates Operating Llc can be contacted via phone (503) 635-8818, or through Tonack, Winston via phone (503) 550-7170.

Contact Information

Primary practice address
4 Greenridge Dr Lake Oswego OR 97035-1400
Phone: (503) 635-8818
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tonack, Winston
Phone: (503) 550-7170

Health care specialties

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

Profile Details

NPI number 1558987768
LBN Legal business name Greenridge Estates Operating Llc
DBA Doing business as
Authorized official Tonack, Winston
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2020
Last updated Jun 23rd, 2020 - about 4 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 1558987768 NPPES
Oregon MEDICAID 526417

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