Elizabethan Manor

LBN: Prestige Residential Community Llc
Elizabethan Manor is an health care organization with primary practice located at 44882 Mission Rd , Pendleton OR 97801-9293. 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. Prestige Residential Community Llc can be contacted via phone (541) 276-7157, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
44882 Mission Rd Pendleton OR 97801-9293
Phone: (541) 276-7157
Fax: (541) 276-3093
Website:
Map and Directions
Authorized official contact:
Name: Vislocky, Gregory J
Phone: (360) 735-7155

Health care specialties

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

Profile Details

NPI number 1144357310
LBN Legal business name Prestige Residential Community Llc
DBA Doing business as Elizabethan Manor
Authorized official Vislocky, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
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 1144357310 NPPES
Oregon MEDICAID 589713

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