Laurelhurst Village Llc

LBN: Laurelhurst Village Llc
Laurelhurst Village Llc is an health care organization with primary practice located at 3060 Se Stark St , Portland OR 97214-3053. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Laurelhurst Village Llc can be contacted via phone (503) 535-4700, or through Waloroff, Teresa Lee via phone (503) 595-2810.

Contact Information

Primary practice address
3060 Se Stark St Portland OR 97214-3053
Phone: (503) 535-4700
Fax: (503) 797-6702
Website:
Map and Directions
Authorized official contact:
Name: Waloroff, Teresa Lee RN MS
Phone: (503) 595-2810

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 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 1346288362
LBN Legal business name Laurelhurst Village Llc
DBA Doing business as
Authorized official Waloroff, Teresa Lee RN MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 22nd, 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 1346288362 NPPES
Oregon MEDICAID 800093

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