HEALTHCARE AT FOSTER CREEK
NPI 1205053600
Nursing Facility/Intermediate Care Facility in Portland, OR

Q: What is St. Jude Operating Company, LLC's NPI number?

The NPI number for St. Jude Operating Company, LLC is 1205053600. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is doing business as Healthcare At Foster Creek.

Q: What is St. Jude Operating Company, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Active since April 19, 2007

6003 SE 136TH AVE, PORTLAND, OR 97236(503) 761-1155(503) 761-1142 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Healthcare At Foster Creek NPPES

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

HEALTHCARE AT FOSTER CREEK (NPI 1205053600) is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Melchor Balazs, Owner, as its authorized official.

NPPES Registry Identity

NPI1205053600

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameST. JUDE OPERATING COMPANY, LLC

Location Address6003 SE 136TH AVEPortland, OR 97236-4567

Mailing Address6003 Se 136th AvePortland, OR 97236-4567 · (503) 761-1155 · Fax (503) 761-1142

Phone(503) 761-1155

Fax(503) 761-1142

Organization SubpartNo

Authorized OfficialMelchor BalazsOwner · (510) 526-2230

Enumeration DateApril 19, 2007

Last NPPES UpdateDecember 15, 2015

✔ NPI 1205053600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in OR · 1026862561

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.

6003 SE 136TH AVE, Portland, OR 97236

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Other Names 1

Doing Business AsHealthcare At Foster Creek

Other Identifiers 1

Medicare OSCAR/certification385281OR

Other Providers at the Same Location NPPES 18

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

GRACELEN TERRACE MANAGING COMPANY

Nursing Facility/Intermediate Care Facility