HARBOR CARE REEDWOOD – NPI #1629008651
Nursing Facility/Intermediate Care Facility

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.

HARBOR CARE REEDWOOD is a facility located in PORTLAND, OR. NPPES has assigned the NPI number 1629008651 to HARBOR CARE REEDWOOD on July 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HARBOR CARE REEDWOOD” is a dba name, the actual legal business name for this organization is HARBOR CARE CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 313M00000X from the Health Care Provider Taxonomy code set, which is classified as Nursing Facility/Intermediate Care Facility.

The NPI profile was previously updated about 18 years ago on Dec 28, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARBOR CARE REEDWOOD below.

NPI Profile for
HARBOR CARE CORPORATION

NPI Number
1629008651
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARBOR CARE CORPORATION
Doing Business As (dba): HARBOR CARE REEDWOOD
Primary location
3540 SE FRANCIS ST
PORTLAND, OR 97202-3350
Phone: (503) 232-5767 Fax: (503) 234-4162
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCUS LESTER
CEO
Phone: (503) 232-5767
Updated
Identifiers

Identifiers for HARBOR CARE REEDWOOD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR800091
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
313M00000X
- Nursing Facility/Intermediate Care Facility (Primary)
OR 800091
314000000X
- Skilled Nursing Facility
OR 800091

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.