Ohana Nampa Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OHANA NAMPA OPERATIONS, LLC

Doing business as

Streamside Senior Living

Practice address

1355 S Edgewater Cir
Nampa, ID 83686-6085

Phone

(503) 250-3825

NPI assigned

Jul 28, 2021

Last updated

Aug 19, 2021By the provider in NPPES

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

Owner

Phone

(503) 250-3825

Specialties & licenses 1

Addresses

Other names 1

• Streamside Senior Living Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1104599901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340109",
            "telephone_number": "503-250-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S EDGEWATER CIR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866085",
            "telephone_number": "503-250-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA NAMPA OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "HILTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-250-3825"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kblizzard@ohana-ventures.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1319 Edgewater Circle",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhilty@ohana-ventures.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mhilty@ohana-ventures.com",
            "address_1": "325 2nd St Apt 403",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970343288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Streamside Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Streamside Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Nampa, ID
• Providers in Nampa, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.