VILLAGE HEALTH CARE I, LLC
NPI 1629224449
Skilled Nursing Facility in Gresham, OR

Active since August 12, 2008
3955 SE 182ND AVE, GRESHAM, OR 97030(503) 665-0183(503) 666-6609 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Village Health Care I, Llc NPPES

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

VILLAGE HEALTH CARE I, LLC (NPI 1629224449) is a healthcare organization registered as a skilled nursing facility in Gresham, Oregon and active in the NPI registry since August 2008. The organization lists Alan Jesse Marcoff, Controller, as its authorized official.

NPPES Registry Identity

NPI1629224449
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVILLAGE HEALTH CARE I, LLC
Location Address3955 SE 182ND AVEGresham, OR 97030-5036
Mailing Address3955 Se 182nd AveGresham, OR 97030-5036 · (503) 665-0183 · Fax (503) 666-6609
Fax(503) 666-6609
Organization SubpartNo
Authorized OfficialAlan Jesse MarcoffController · (503) 665-0183
Enumeration DateAugust 12, 2008
NPI 1629224449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OR · 1124599635
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

3955 SE 182ND AVE, Gresham, OR 97030

Other Identifiers 2

Medicaid800120OR
Medicare PIN385068

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D0621975
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
NICOLE HALTINER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Village Health Care I, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Occupational Therapist (Gerontology)
3955 SE 182ND AVE
GRESHAM, OR 97030
Occupational Therapist
3955 SE 182ND AVE
GRESHAM, OR 97030
Occupational Therapist
3955 SE 182ND AVE
GRESHAM, OR 97030
Licensed Practical Nurse
3955 SE 182ND AVE
GRESHAM, OR 97030
Skilled Nursing Facility
3955 SE 182ND AVE
GRESHAM, OR 97030
Speech-Language Pathologist
3955 SE 182ND AVE
GRESHAM, OR 97030
Skilled Nursing Facility
3955 SE 182ND AVE
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629224449, enumerated as an "organization" on August 12, 2008.

The provider is located at 3955 SE 182ND AVE GRESHAM, OR 97030 and the phone number is (503) 665-0183.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.