THE VILLAGE AT HILLSIDE (HILLSIDE SENIOR LIVING COMMUNITY, LLC) NPI 1003020686

Nursing Facility/Intermediate Care Facility in Mcminnville, OR

NPI 1003020686 Organization Nursing Facility/Intermediate Care Facil...

About THE VILLAGE AT HILLSIDE (HILLSIDE SENIOR LIVING COMMUNITY, LLC)

The Village At Hillside (hillside Senior Living Community, Llc) is a provider established in Mcminnville, Oregon specializing in nursing facility/intermediate care facility. The NPI number of The Village At Hillside (hillside Senior Living Community, Llc) is 1003020686 and was assigned on May 2007. The practitioner's primary taxonomy code is 313M00000X with license number 1022025704 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is The Village At Hillside. The authorized official of this NPI record is Mr. Rene Dumas (Administrator-campus Director)

NPI

1003020686

Provider NameTHE VILLAGE AT HILLSIDE (HILLSIDE SENIOR LIVING COMMUNITY, LLC)
Provider Location Address300 NW HILLSIDE PARK WAY MCMINNVILLE, OR 97128
Provider Mailing Address300 NW HILLSIDE PARK WAY MCMINNVILLE, OR 97128
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE VILLAGE AT HILLSIDE
Other Name TypeOther Name (5)
Enumeration Date05-10-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code313M00000X
ClassificationNursing Facility/Intermediate Care Facility
TypeNursing & Custodial Care Facilities
License No.1022025704
License StateOR
Taxonomy DescriptionAn 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.

Business Address

THE VILLAGE AT HILLSIDE
300 NW HILLSIDE PARK WAY
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-9534
Fax: (503) 883-7477

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Mailing Address

THE VILLAGE AT HILLSIDE
300 NW HILLSIDE PARK WAY
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-9534
Fax: (503) 883-7477



Authorized Official

Authorized Official NameMR. RENE DUMAS
Authorized Official TitleADMINISTRATOR-CAMPUS DIRECTOR
Authorized Official Phone(503) 472-9534

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.