Organization Active NPI

Ahr Seaside Or Alf TRS Sub, LLC

Doing business as Neawanna By The Sea

  • Assisted Living Facility
  • Seaside, OR
National Provider Identifier
1114782687
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AHR SEASIDE OR ALF TRS SUB, LLC
Doing business as
Neawanna By The Sea
Practice address
20 N Wahanna Rd
Seaside, OR 97138-7862
Phone
(503) 738-5526
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Candis Willis
Title
Quality & Wellness Leader
Phone
(530) 605-8841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

20 N Wahanna Rd
Seaside, OR 97138-7862

Mailing address

20 N Wahanna Rd
Seaside, OR 97138-7862
Phone (503) 738-5526

Other names 1

  • Neawanna By The Sea Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1114782687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N WAHANNA RD",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387862",
            "telephone_number": "503-738-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WAHANNA RD",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387862",
            "telephone_number": "503-738-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHR SEASIDE OR ALF TRS SUB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "QUALITY & WELLNESS LEADER",
        "authorized_official_telephone_number": "530-605-8841"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neawanna By The Sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seaside, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.