Organization Active NPI

Newport Rehabilitation, LLC

  • Skilled Nursing Facility
  • Newport, OR
National Provider Identifier
1184768772
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEWPORT REHABILITATION, LLC
Practice address
835 SW 11TH St
Newport, OR 97365-4802
Phone
(541) 265-5356
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Karl Miller Jr.
Title
Ceo
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

835 SW 11TH St
Newport, OR 97365-4802

Mailing address

25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697

Other names 1

  • Avamere Rehabilitation of Newport Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000240 OR Part A Provider - Skilled Nursing Facility 1658476254 Practice locations: Newport, OR

Skilled nursing facility certification: CCN 385162

Legal name
NEWPORT REHABILITATION, LLC
Doing business as
AVAMERE REHABILITATION OF NEWPORT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 3, 1984
Last certification
Apr 4, 2024
Beds
52
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avamere Living
Organization structure
LLCProprietary
Enrollment address
835 SW 11TH St
Newport, OR 97365-4802
Nursing home name
AVAMERE REHABILITATION OF NEWPORT
Affiliated entity
AVAMERE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avamere Rehabilitation of NewportCCN 385162
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 3, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5239.7 residents per day on average
Chain
Avamere27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 37

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

NameRoleSinceShare
Avamere Skilled Advisors LLC Organization, Wilsonville, OR LLC, For-profit Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jul 6, 2025
Organization, Spokane Valley, WA Corporation, For-profit Adp of the SNF Jul 6, 2025
Sabra Health Care Reit Inc Organization, Tustin, CA Corporation, For-profit, Real estate investment trust (REIT) Adp of the SNF Aug 17, 2017
Michelle Funderberg Individual Managing Control - Governing BodyVoting Member Jan 1, 2025
Adp of the SNF Jan 1, 2025
Karl Rickard Miller Individual Indirect Ownership Interest Aug 1, 1996 100%
Organization, Seattle, WA For-profit Adp of the SNF Jul 6, 2025
Ari Operations, LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 6, 2006 100%
Katherine Fowler Individual Adp of the SNF Feb 8, 2025
Organization, Charlotte, NC LLC, For-profit Adp of the SNF Jul 6, 2025
Midcap Finco LLC Organization, Bethesda, MD LLC, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jan 22, 2010
Operational/Managerial Control Jan 22, 2010
Glen Robert Cavallo Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Ariso LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jan 6, 2006 100%
Carolyn Staples Individual Managing Control - Governing BodyVoting Member Oct 1, 2025
Adp of the SNF Oct 5, 2023
Organization, Tustin, CA Holding company, For-profit Adp of the SNF Aug 17, 2017
Karl Rickard Miller Jr Revocable Trust Organization, Ketchum, ID Indirect Ownership Interest Jul 11, 2011 100%
Avamere Health Services LLC Organization, Wilsonville, OR LLC, For-profit, Chain home office Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jun 3, 2026
Snapmedtech,Inc. Organization, Atlanta, GA Corporation, Medical staffing company, For-profit Adp of the SNF Sep 8, 2025
David P Larson Individual Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Todd Inskeep Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Adp of the SNF Jan 21, 2022
Roberto Garcia Individual Operational/Managerial Control Feb 1, 2026
Managing Control - Governing BodyVoting Member Feb 1, 2026
Adp of the SNF Feb 1, 2026
Colby Strunk Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Adp of the SNF Sep 6, 2022
Shannon Becerra Individual Adp of the SNF Feb 1, 2025
Kim Games Individual Adp of the SNF Aug 15, 2024
Organization, Tustin, CA LLC, For-profit Adp of the SNF Aug 7, 2015
Rande Holdings, LLC Organization, Wilsonville, OR LLC, For-profit Adp of the SNF Jun 1, 2024
Tonia Hoskins Individual Operational/Managerial Control Jul 19, 2024
Mary Kofstad Individual Operational/Managerial Control Feb 13, 2024
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Feb 13, 2024
Yolanda Presley Individual Operational/Managerial Control Jan 6, 2025
Adp of the SNF Jan 6, 2025
Avamere Group LLC Organization, Wilsonville, OR Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 6, 2006 100%
Cody Feakin Individual Operational/Managerial Control Jul 15, 2025
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jan 1, 2025
Misty Dawn Reid Individual Operational/Managerial Control Jan 2, 2025
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jan 2, 2025
Michelle Deis Individual Operational/Managerial Control Aug 2, 2021
Adp of the SNF Aug 2, 2021
Daniel Barber Individual Operational/Managerial Control Oct 10, 2022
Adp of the SNF Jun 2, 2026
Lorelei Todd Individual Operational/Managerial Control Nov 16, 2024
Adp of the SNF Nov 16, 2024
Sabra Health Care, LLC Organization, Tustin, CA LLC, Holding company, For-profit Adp of the SNF Aug 17, 2017
Shauna Gorringe Individual Adp of the SNF Nov 4, 2016
Carrie Vanderzanden Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jan 2, 2025

Owners & managing parties with NPI records 2

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

Facilities with the same owner 23

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

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1184768772",
    "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": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SW 11TH ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654802",
            "telephone_number": "541-265-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "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 Rehabilitation of Newport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.