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ELIZABETHAN MANOR
NPI 1144357310
Assisted Living Facility in Pendleton, OR

Active since February 27, 2007
44882 MISSION RD, PENDLETON, OR 97801(541) 276-7157(541) 276-3093 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabethan Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETHAN MANOR (NPI 1144357310) is a healthcare organization registered as an assisted living facility in Pendleton, Oregon and active in the NPI registry since February 2007. The organization lists Gregory J Vislocky, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1144357310
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRESTIGE RESIDENTIAL COMMUNITY LLC
Location Address44882 MISSION RDPendleton, OR 97801-9293
Mailing Address7700 Ne Parkway Dr, Suite 300Vancouver, WA 98662-6648 · (360) 735-7155 · Fax (360) 735-9416
Phone(541) 276-7157
Fax(541) 276-3093
Organization SubpartNo
Authorized OfficialGregory J VislockyManaging Member · (360) 735-7155
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144357310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
44882 MISSION RD, Pendleton, OR 97801
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Other Names 1

Doing Business AsElizabethan Manor

Other Identifiers 1

Medicaid589713OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA KENJI RAOUL HELLSTROM PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
44882 MISSION RD
PENDLETON, OR 97801
Umatilla County (541) 429-0550
LES IS MORE MENTAL HEALTH, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
44882 MISSION RD
PENDLETON, OR 97801
Umatilla County (541) 429-0550
TREVOR SCOTT RACHKO PMHNP, MSN
Nurse Practitioner (Psychiatric/Mental Health)
44882 MISSION RD
PENDLETON, OR 97801
Umatilla County (541) 429-0550
LESLIE NEAL SCOTT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
44882 MISSION RD
PENDLETON, OR 97801
Umatilla County (503) 516-6250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prestige Residential Community LLC's NPI number?

The NPI number for Prestige Residential Community LLC is 1144357310. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Elizabethan Manor.

Where is Prestige Residential Community LLC located?

Prestige Residential Community LLC is located at 44882 Mission Rd, Pendleton, OR 97801. The listed phone number is (541) 276-7157.

What is Prestige Residential Community LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Prestige Residential Community LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.