Mavericks Beach, LLC

Skilled Nursing Facility · Saint Helens, OR

Organization Active NPI

NPI number 1649077405

Practice location

75 Shore Dr
Saint Helens, OR 97051-1125
Phone
(503) 397-2713

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NPI record

NPI
1649077405
Entity type
Organization (Type 2)
Enumeration date
February 28, 2025
Last updated
February 28, 2025
Certified
February 28, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

599 Menlo Dr Ste 200
Rocklin, CA 95765-3725
Phone
(916) 299-7030

Authorized official

Name
Ryan Williams
Title
Managing Member
Phone
(916) 299-7030

Other names

  • Saint Helens Post Acute

About Mavericks Beach, LLC

Mavericks Beach, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 75 Shore Dr, Saint Helens, OR 97051-1125. The NPI number 1649077405 was assigned on February 28, 2025 and the record was last updated on February 28, 2025.

The authorized official for this organization is Ryan Williams, Managing Member.

Frequently asked questions

What is the NPI number of Mavericks Beach, LLC?

The NPI number is 1649077405.

What is the phone number of Mavericks Beach, LLC?

The phone number listed for the practice location is (503) 397-2713.

Where is Mavericks Beach, LLC located?

75 Shore Dr, Saint Helens, OR 97051-1125.

What is the taxonomy code for Mavericks Beach, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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