OrganizationActive
Prairie Manor
NPI 1164844866 · Skilled Nursing Facility · Wilsonville, OR
Prairie Manor is a Skilled Nursing Facility organization in Wilsonville, OR (NPI 1164844866).
Provider details
- NPI number
- 1164844866
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Yes
- Organization subpart
- Yes
- Authorized official
- Rosemarie Smith, Certified Occupational Therapy Assi(708) 474-3116
- License
- 057001429 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25117 Sw Parkway Ave
Suite D
Wilsonville, OR 97070-9697
Phone: (708) 754-7601
Street-level locationGet directions
Mailing address
25117 Sw Parkway Ave
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Frequently asked questions
- What is Prairie Manor's NPI number?
- Prairie Manor's National Provider Identifier (NPI) is 1164844866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prairie Manor?
- Prairie Manor is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Prairie Manor located?
- Prairie Manor's practice location on file with NPPES is 25117 Sw Parkway Ave, Wilsonville, OR 97070-9697.
- What is Prairie Manor's phone number?
- The practice phone number listed in the NPPES registry for Prairie Manor is (708) 754-7601.
- Who is the authorized official for Prairie Manor?
- The authorized official listed on Prairie Manor's NPPES record is Rosemarie Smith, Certified Occupational Therapy Assi. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prairie Manor's NPI active?
- Yes — Prairie Manor's NPI (1164844866) is active in the NPPES registry as of the last update on 2014-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.