SHERWOOD PARK NURSING AND REHAB CENTER
NPI 1285621268
Skilled Nursing Facility in Keizer, OR

NPI Status: Active since October 04, 2005

Contact Information

4062 ARLETA AVE NE
KEIZER, OR
ZIP 97303
Phone: (503) 390-2271
Fax: (503) 390-0177

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About SHERWOOD PARK NURSING AND REHAB CENTER

This page provides the complete NPI Profile along with additional information for Sherwood Park Nursing And Rehab Center, a provider established in Keizer, Oregon operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285621268 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Sherwood Park Nursing And Rehab Center. The authorized official of this NPI record is Mr. Scott Fredrickson (Directore Of Operations)

NPI
1285621268
Provider Legal Name
SHERWOOD PARK NURSING HOME INC
Other Organization Name
SHERWOOD PARK NURSING AND REHAB CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4062 ARLETA AVE NE KEIZER, OR 97303
Location Phone
(503) 390-2271
Location Fax
(503) 390-0177
Mailing Address
4062 ARLETA AVE NE KEIZER, OR 97303
Mailing Phone
(503) 390-2271
Mailing Fax
(503) 390-0177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2005
Last Update Date
03-15-2012
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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.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License State
OR
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. SCOTT FREDRICKSON

Authorized Official Title
DIRECTORE OF OPERATIONS
Authorized Official Phone
(503) 390-2271

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
385241MEDICARE ID-TYPE UNSPECIFIED (04)OR 
804815MEDICAID (05)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.
1285621268
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651222212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 2 + 2 + 2 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1285621268 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902066947MRS. MARCIA ANN IVIE OTR/L
Individual
Occupational Therapist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-0177
1528228574MR. GARY CURTIS LUND PT
Individual
Physical Therapist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-0177
1881922151MS. KATHY ANN VERBOORT COTA/A
Individual
Occupational Therapy Assistant4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 881-2457
1457689630 JEAN BRADLEY SLP
Individual
Speech-Language Pathologist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 779-5366
1811209653 BRYAN CODINA
Individual
Occupational Therapist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1699022301 DANIEL RICHARD KENAGY
Individual
Speech-Language Pathologist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1457760290 ANNIKA TRIPLETT
Individual
Occupational Therapist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 576-4036
1043766116 BRADLEY IAN MCMICHAEL
Individual
Physical Therapy Assistant4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1780159194ARLETA SHERWOOD PARK OPERATIONS LLC
Organization
Skilled Nursing Facility4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1437783347 JOAN ONGAT MCMICHAEL
Individual
Occupational Therapist4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1821754623AVALON CARE CENTER - KEIZER LLC
Organization
Skilled Nursing Facility4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271
1346958717KEIZER NURSING & REHAB CENTER LLC
Organization
Skilled Nursing Facility4062 ARLETA AVE NE
KEIZER, OR 97303
(503) 390-2271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285621268, enumerated in the NPI registry as an "organization" on October 04, 2005

The provider is located at 4062 Arleta Ave Ne Keizer, Or 97303 and the phone number is (503) 390-2271

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.