Ohana Garden City Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OHANA GARDEN CITY OPERATIONS LLC

Practice address

813 NE Kelly Ave
Gresham, OR 97030-5638

Phone

(503) 789-5345

NPI assigned

Jul 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Hilty

Title

President

Phone

(150) 378-9534

Specialties & licenses 1

Addresses

Other names 1

• Kelly Gardens Residential Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1033898325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 NE KELLY AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305638",
            "telephone_number": "503-789-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA GARDEN CITY OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HILTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "150-378-9534"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Gardens Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.