Summerplace Assisted Living Community

LBN: Summerplace Assisted Living Llc
Summerplace Assisted Living Community is an health care organization with primary practice located at 15727 Ne Russell St , Portland OR 97230-8222. 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. Summerplace Assisted Living Llc can be contacted via phone (503) 252-9361, or through Vislocky, Gregory J via phone (360) 735-7155.

Contact Information

Primary practice address
15727 Ne Russell St Portland OR 97230-8222
Phone: (503) 252-9361
Fax: (503) 252-9405
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 1164559282
LBN Legal business name Summerplace Assisted Living Llc
DBA Doing business as Summerplace Assisted Living Community
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 1164559282 NPPES
Oregon MEDICAID 502073

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