Homewoods Heights LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMEWOODS HEIGHTS LLC

Doing business as

Homewood Heights Assisted Living Community

Practice address

17999 SE River Rd
Milwaukie, OR 97267-5885

Phone

(503) 659-6600

Fax

(503) 659-8193

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Gregory J Vislocky

Title

Managing Member

Phone

(360) 735-7155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homewood Heights Assisted Living Community Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093842288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR",
            "address_2": "SUITE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "360-735-7155",
            "fax_number": "360-735-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17999 SE RIVER RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675885",
            "telephone_number": "503-659-6600",
            "fax_number": "503-659-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOODS HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-735-7155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500024",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood Heights Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Anne Holt, PT
• Nicole Holt, CERTIFIED OCCUPATION
• Ming Hom I
• Speros Demetre Homer III, M.D.
• Homewood Community Healthcare LLC
• Michelle Maya Honeyman, OTRL
• Abbylynn Bagos Hood, PHYSICAL THERAPIST
• Rodney Hoole, CRM II, CADC-R
• Chelsea Elyse Hooper
• Yuriko I Hori, PHYSICAL THERAPIST

• Assisted Living Facility in Milwaukie, OR
• Providers in Milwaukie, 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 Aug 22, 2020; 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.