ROSE HAVEN NURSING CENTER
NPI 1932106069
Skilled Nursing Facility in Roseburg, OR

NPI Status: Active since July 05, 2005

Contact Information

740 NW HILL AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 672-1631
Fax: (541) 672-1563

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 38D0627411
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 12-31-2025

About ROSE HAVEN NURSING CENTER

This page provides the complete NPI Profile along with additional information for Rose Haven Nursing Center, a provider established in Roseburg, Oregon operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1932106069 assigned on July 2005. The practitioner's primary taxonomy code is 314000000X with license number 800370 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Rose Haven Nursing Center. The authorized official of this NPI record is Mr. Mark Garber (Chief Financial Officer)

NPI
1932106069
Provider Legal Name
FISHER CARE, INC.
Other Organization Name
ROSE HAVEN NURSING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
740 NW HILL AVE ROSEBURG, OR 97471
Location Phone
(541) 672-1631
Location Fax
(541) 672-1563
Mailing Address
1077 GATEWAY LOOP SPRINGFIELD, OR 97477
Mailing Phone
(541) 746-1020
Mailing Fax
(541) 672-1563
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-05-2005
Last Update Date
02-23-2015
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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 No.
800370
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:

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. MARK GARBER

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(541) 746-1020

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
800370MEDICAID (05)OR 
385151MEDICARE OSCAR/CERTIFICATION (06)OR 

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
38D0627411
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
STASHA BLANKENSHIP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rose Haven Nursing Center 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.

Reviews for ROSE HAVEN NURSING CENTER

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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.
1932106069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29622012012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 2 + 0 + 1 + 2 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1932106069 is valid because the calculated check digit 9 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
1952850760AVALON HEALTH CARE - ROSE HAVEN, LLC
Organization
Internal Medicine (Geriatric Medicine)740 NW HILL AVE
ROSEBURG, OR 97471
(801) 596-8844
1982076055CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP.
Organization
Internal Medicine740 NW HILL AVE
ROSEBURG, OR 97471
(541) 672-1631
1710631270DR. JAMIE SCHNABEL OTD, OTR/L
Individual
Occupational Therapist740 NW HILL AVE
ROSEBURG, OR 97471
(541) 672-1631
1225581242AVALON HEALTH CARE - ROSE HAVEN LLC
Organization
Skilled Nursing Facility740 NW HILL AVE
ROSEBURG, OR 97471
(541) 464-7100
1467160804SWEET BRIAR NURSING CENTER LLC
Organization
Skilled Nursing Facility740 NW HILL AVE
ROSEBURG, OR 97471
(541) 672-1631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932106069, enumerated in the NPI registry as an "organization" on July 05, 2005

The provider is located at 740 Nw Hill Ave Roseburg, Or 97471 and the phone number is (541) 672-1631

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

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

The provider's CLIA number is 38D0627411 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 05, 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].
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