MAPLE HOLLOW REHABILITATION AND NURSING LLC
NPI 1114492519
Nursing Facility/Intermediate Care Facility in Portland, OR

NPI Status: Active since October 11, 2018

Contact Information

34 NE 20TH AVE
PORTLAND, OR
ZIP 97232
Phone: (503) 231-0276

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About MAPLE HOLLOW REHABILITATION AND NURSING LLC

This page provides the complete NPI Profile along with additional information for Maple Hollow Rehabilitation And Nursing Llc, a provider established in Portland, Oregon operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1114492519 assigned on October 2018. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Walter Eric Myers (Managing Member)

NPI
1114492519
Provider Name
MAPLE HOLLOW REHABILITATION AND NURSING LLC
Entity Type
Organization
Location Address
34 NE 20TH AVE PORTLAND, OR 97232
Location Phone
(503) 231-0276
Mailing Address
34 NE 20TH AVE PORTLAND, OR 97232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2018
Last Update Date
10-11-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WALTER ERIC MYERS

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(801) 709-4358

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114492519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212489452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 9 + 4 + 5 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1114492519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SAPPHIRE AT ROSE CITY, LLC

Nursing Facility/Intermediate Care Facility

34 NE 20TH AVE
PORTLAND, OR
ZIP 97232

(503) 231-0276

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114492519, enumerated as an "organization" on October 11, 2018.

The provider is located at 34 NE 20TH AVE PORTLAND, OR 97232 and the phone number is (503) 231-0276.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.