Provider Demographics
NPI:1932258563
Name:CASCADE MANOR, INC.
Entity type:Organization
Organization Name:CASCADE MANOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SABATINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-221-1425
Mailing Address - Street 1:65 W. 30TH AVE.
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3373
Mailing Address - Country:US
Mailing Address - Phone:541-342-5901
Mailing Address - Fax:541-434-4250
Practice Address - Street 1:65 W 30TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3485
Practice Address - Country:US
Practice Address - Phone:541-342-5901
Practice Address - Fax:541-434-4250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1221904933314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR385276Medicare Oscar/Certification