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Active NPI 1518511419 Organization (Entity Type 2)

Chestnut Lane Operations Llc

Assisted Living Facility • Gresham, OR

About Chestnut Lane Operations Llc NPI 1518511419 Summary

Chestnut Lane Operations Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Gresham, OR. Located at 1219 NE 6TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1518511419.

Administrative operations and authorized compliance are overseen by Karl Miller Jr. (Ceo).

Facility Location & Contact Primary Location

Facility Address

1219 Ne 6th St

Gresham, OR 970307348

Telephone 5036740364

Authorized Official Information

Authorized Contact Name

Karl Miller Jr.

Title / Role

Ceo

Official Telephone

5035703405

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 29, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2019

Registered at 1219 NE 6TH ST, GRESHAM, OR 970307348 (Tel: 5036740364)

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Updated Business Mailing Address July 29, 2019

Registered at 1219 NE 6TH ST, GRESHAM, OR 970307348

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Organization / Clinic Name Updated July 29, 2019

Operating as CHESTNUT LANE OPERATIONS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2019

Assisted Living Facility

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Initial NPI Registration & Enumeration July 29, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1518511419

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 29, 2019

Last Update: July 29, 2019

Update or Correct Listing

Mailing Address

1219 Ne 6th St

Gresham, OR 970307348

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.