institution
St. Jude Operating Company, Llc
Nursing Facility/Intermediate Care Facility in Portland, Oregon
NPI 1205053600

St. Jude Operating Company, Llc is a Nursing Facility/Intermediate Care Facility based in Portland, OR. St. Jude Operating Company, Llc practices in Portland, OR. The NPI Number for St. Jude Operating Company, Llc is 1205053600 and holds a License No. 1026862561 (Oregon).

The current practice location address for St. Jude Operating Company, Llc is 6003 Se 136Th Ave, Portland, OR and can be reached out via phone at 503-761-1155 and via fax at 503-761-1142.

Location: 6003 Se 136Th Ave, Portland, OR, 97236-4567
institution
Provider Profile Details
NPI Number
1205053600
Provider Name
St. Jude Operating Company, Llc
Credential
Provider Entity Type
Organization
Address
6003 Se 136Th Ave, Portland, OR, 97236-4567
Phone Number
503-761-1155
Fax Number
503-761-1142
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6003 Se 136Th Ave
City
State
Zip
97236-4567
Phone Number
503-761-1155
Fax Number
503-761-1142
person
Provider Business Mailing Address Details
Address
6003 Se 136Th Ave
City
State
Zip
97236-4567
Phone Number
503-761-1155
Fax Number
503-761-1142
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
License No.
1026862561 (Oregon)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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