Rogue Valley Manor
NPI 1639170988 · Skilled Nursing Facility · Medford, OR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rogue Valley Manor is a Skilled Nursing Facility organization in Medford, OR (NPI 1639170988).
Provider details
- NPI number
- 1639170988
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dave Keaton, Executive Director(541) 301-1592
- License
- 2275 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Rogue Valley Manor's NPI number?
- Rogue Valley Manor's National Provider Identifier (NPI) is 1639170988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rogue Valley Manor?
- Rogue Valley Manor is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Rogue Valley Manor located?
- Rogue Valley Manor's practice location on file with NPPES is 1200 Mira Mar Ave, Medford, OR 97504-8546.
- What is Rogue Valley Manor's phone number?
- The practice phone number listed in the NPPES registry for Rogue Valley Manor is (541) 857-7777.
- Does Rogue Valley Manor accept Medicare?
- Rogue Valley Manor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rogue Valley Manor?
- The authorized official listed on Rogue Valley Manor's NPPES record is Dave Keaton, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rogue Valley Manor's NPI active?
- Yes — Rogue Valley Manor's NPI (1639170988) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.