MARYVILLE NURSING HOME
NPI 1285631036
Skilled Nursing Facility in Beaverton,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 7, 2005

Contact Information

14645 Sw Farmington Rd
Beaverton,
Post Code: 97007
Phone: (503) 643-8626
Fax: (503) 520-1435

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Maryville Nursing Home in Beaverton - Skilled Nursing Facility

Maryville Nursing Home is a Skilled Nursing Facility in Beaverton, . Maryville Nursing Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Maryville Nursing Home is 1285631036. The last update date is 2020-08-22.

Maryville Nursing Home's current location address is 14645 Sw Farmington Rd, Beaverton, . You can contact this provider via phone number (503) 643-8626 and fax number (503) 520-1435. The mailing address for Maryville Nursing Home is 14645 Sw Farmington Rd, Beaverton, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1285631036
Provider Legal Name
MARYVILLE NURSING HOME
Other Organization Name
MARYVILLE NURSING HOME
Other Name Type
-
Entity Type
Organization
Location Address
14645 Sw Farmington Rd, Beaverton,
Location Phone
(503) 643-8626
Location Fax
(503) 520-1435
Mailing Address
14645 Sw Farmington Rd, Beaverton, Oregon(OR)
Mailing Phone
503-643-8626
Mailing Fax
503-520-1435
Enumeration Date
2005-07-07
Last Update Date
2020-08-22
Code Navigator

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 314000000X Skilled Nursing Facility

Skilled Nursing Facility

(Oregon)
2 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

(Oregon)
3 311500000X Alzheimer Center (Dementia Center)

Alzheimer Center (Dementia Center)

(Oregon)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
806745 MEDICAID (05) Oregon (OR)

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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.
1285631036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165123206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22165123206
2 + 2 + 1 + 6 + 5 + 1 + 2 + 3 + 2 + 0 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1285631036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000
1235132499 CLAUDIA BYRNE
Individual
Psychologist 1500 NW BETHANY BLVD STE 200
BEAVERTON, Oregon (OR)
512-709-8311
1174526313 BRIAN LETTS
Individual
Emergency Medicine 2801 ST ANTHONY WAY
PENDLETON, Oregon (OR)
541-276-5121
1043213143 PHILIP Y PADEN EYE CARE OPTICAL
PADEN EYE CARE OPTICAL
Organization
Eyewear Supplier (Equipment, not the service) 221 W STEWART AVE
MEDFORD, Oregon (OR)
541-776-9026
1104829258 AVAMERE MEDICAL SUPPLY LLC
SIGNATURE MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition 25117 SW PARKWAY AVE
WILSONVILLE, Oregon (OR)
503-783-2483