Providence Health & Services-oregon - Portland, OR

Providence Health & Services-oregon

Child Physical Disabilities Respite Care in Portland, Oregon

NPI 1376625137

Providence Health & Services-oregon is a Child Physical Disabilities Respite Care based in Portland, OR and is specialized in Respite Care, Physical Disabilities, Child. Providence Health & Services-oregon practices in Portland, OR. The NPI Number for Providence Health & Services-oregon is 1376625137 and holds a License No. 1700250565 (Oregon).

The current practice location address for Providence Health & Services-oregon is 830 Ne 47Th Ave, Portland, OR and can be reached out via phone at 503-215-2400 and via fax at 503-215-0660. You can also correspond with Providence Health & Services-oregon through the mailing address at 830 NE 47TH AVE, PORTLAND, OR - 97213-2212 (mailing address contact number: 503-215-2400).

Location: 830 Ne 47Th Ave, Portland, OR, 97213-2212

NPI Number

1376625137

Provider Name

Providence Health & Services-oregon

Credential

Provider Entity Type

Organization

Address

830 Ne 47Th Ave, Portland, OR, 97213-2212

Phone Number

503-215-2400

Fax Number

503-215-0660

Provider Enumeration Date

10/20/2006

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
1035453259	01	OR	DEPT OF HUMAN SVCS
807297	05	OR
4570701	05	WA

Address

830 Ne 47Th Ave

City

Portland

State

Oregon

Zip

97213-2212

Phone Number

503-215-2400

Fax Number

503-215-0660

Address

830 Ne 47Th Ave

City

Portland

State

Oregon

Zip

97213-2212

Phone Number

503-215-2400

Fax Number

503-215-0660

Type

Nursing & Custodial Care Facilities

Classification

Nursing Facility/Intermediate Care Facility

Speciality

Taxonomy

313M00000X

License No.

1035453259 (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.

Type

Nursing & Custodial Care Facilities

Classification

Skilled Nursing Facility

Speciality

Nursing Care, Pediatric

Taxonomy

3140N1450X

License No.

1035453259 (Oregon)

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Type

Respite Care Facility

Classification

Respite Care

Speciality

Respite Care, Physical Disabilities, Child

Taxonomy

385HR2065X

License No.

1700250565 (Oregon)

Definition

A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.

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