Provider Demographics
NPI:1477899821
Name:ELLC ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ELLC ENTERPRISES, LLC
Other - Org Name:ROSESPRINGS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-693-9101
Mailing Address - Street 1:5215 NE ELAM YOUNG PARKWAY SUITE A
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124
Mailing Address - Country:US
Mailing Address - Phone:503-693-9101
Mailing Address - Fax:503-693-9123
Practice Address - Street 1:5215 NE ELAM YOUNG PARKWAY SUITE A
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124
Practice Address - Country:US
Practice Address - Phone:503-693-9101
Practice Address - Fax:503-693-9123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELLC ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-12
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty