Waterford Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERFORD OPERATIONS, LLC

Doing business as

Avamere at Three Fountains

Practice address

835 Crater Lake Ave
Medford, OR 97504-6505

Phone

(541) 773-7717

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

K. Rickard Miller Jr.

Title

Manager

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other names 1

• Avamere at Three Fountains Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Skilled nursing facility certification: CCN 385126

Legal name

WATERFORD OPERATIONS, LLC

Doing business as

AVAMERE AT THREE FOUNTAINS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1975

Last certification

Jan 16, 2025

Beds

117

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Avamere Living

Most recent change of ownership

Oct 6, 2006

Organization structure

LLCProprietary

Incorporated

May 15, 2006 in OR

Enrollment address

835 Crater Lake Ave
Medford, OR 97504-6505

Nursing home name

AVAMERE AT THREE FOUNTAINS

Affiliated entity

AVAMERE

Listed as

Avamere at Three FountainsCCN 385126 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1975

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11775.1 residents per day on average

Chain

Avamere27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 50

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Karen Tresser Kahn, MD

  • Family Medicine Physician
  • Medford, OR
  • NPI 1508865015

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Misty Reid, AGACNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor, CO
  • NPI 1851992176

  Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 26

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Avamere Lake Oswego Operations Investors, LLC

  • Skilled Nursing Facility
  • Lake Oswego, OR
  • NPI 1437176344

  Ari Operations, LLC, Avamere Group LLC

  CMS ownership
• Clackamas Rehabilitation, LLC

  dba Avamere Rehabilitation of Clackamas

  • Skilled Nursing Facility
  • Gladstone, OR
  • NPI 1518001205

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC

  CMS ownership
• Coos Bay Rehabilitation, LLC

  dba Avamere Rehabilitation of Coos Bay

  • Skilled Nursing Facility
  • Coos Bay, OR
  • NPI 1831233519

  Avamere Health Services LLC, Avamere Skilled Advisors LLC

  CMS ownership
• Crestview Operations, LLC

  dba Avamere Crestview of Portland

  • Skilled Nursing Facility
  • Portland, OR
  • NPI 1922046606

  Ari Operations, LLC, Ariso LLC, Avamere Group LLC, Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC

  CMS ownership
• Eugene Rehabilitation, LLC

  dba Avamere Rehabilitation of Eugene

  • Skilled Nursing Facility
  • Eugene, OR
  • NPI 1265576946

  Ari Operations, LLC, Ariso LLC, Avamere Health Services LLC

  CMS ownership
• Junction City Rehabilitation, LLC

  dba Avamere Rehabilitation of Junction City

  • Skilled Nursing Facility
  • Junction City, OR
  • NPI 1578607164

  Avamere Health Services LLC, Avamere Skilled Advisors LLC

  CMS ownership
• Keizer Campus Operations, LLC

  dba Avamere Court at Keizer

  • Skilled Nursing Facility
  • Keizer, OR
  • NPI 1093732901

  Ari Operations, LLC, Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC

  CMS ownership
• King City Rehab, LLC

  dba Avamere Rehabilitation of King City

  • Skilled Nursing Facility
  • Tigard, OR
  • NPI 1295752236

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Lebanon Care Center, LLC

  dba Avamere Rehabilitation of Lebanon

  • Skilled Nursing Facility
  • Lebanon, OR
  • NPI 1447277470

  Ari Operations, LLC, Ariso LLC, Avamere Health Services LLC

  CMS ownership
• Medford Operations, LLC

  • Skilled Nursing Facility
  • Medford, OR
  • NPI 1093059644

  Ari Operations, LLC, Ariso LLC, Avamere Group LLC

  CMS ownership
• Mountain View Rehab, LLC

  dba Avamere Rehabilitation of Oregon City

  • Skilled Nursing Facility
  • Oregon City, OR
  • NPI 1780601724

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership
• Newport Rehabilitation, LLC

  dba Avamere Rehabilitation of Newport

  • Skilled Nursing Facility
  • Newport, OR
  • NPI 1184768772

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephen Lanier Nelson, MD

  • Family Medicine Physician
  • Medford, OR
  • NPI 1356362008

  Nursing home

  Care Compare affiliation
• Anna Kate Westmoreland, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gold Hill, OR
  • NPI 1821171570

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1114965894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046505",
            "telephone_number": "541-773-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "K. RICKARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avamere at Three Fountains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly May Wasche, RN
• Mary Lynn Wasmund
• Kaitlyn Elizabeth Waszak
• Tetsuji Zenas Watari, DDS
• Vanessa J Waterbury
• Susan Ann Waterman, LCSW
• Erin M Watkins, LICENSED DENTURIST
• Jennifer Watkins, BA, MA, PSY.D., QMHP
• Jessi Watkins
• Lynda Lee Watkins

• Skilled Nursing Facility in Medford, OR
• Providers in Medford, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.