NPIMap

Organization Active NPI

Vancouver Operations, LLC

  • Skilled Nursing Facility
  • Vancouver, WA
National Provider Identifier
1194120816
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VANCOUVER OPERATIONS, LLC
Practice address
801 SE Park Crest Ave
Vancouver, WA 98683-1300
Phone
(360) 260-2200
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Karl Miller
Title
Chairman
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

801 SE Park Crest Ave
Vancouver, WA 98683-1300

Mailing address

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

Other names 1

  • Avamere Rehabilitation of Cascade Park 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 WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311001358 WA Part A Provider - Skilled Nursing Facility 9931425857 Practice locations: Vancouver, WA

Skilled nursing facility certification: CCN 505389

Legal name
VANCOUVER OPERATIONS, LLC
Doing business as
AVAMERE REHABILITATION OF CASCADE PARK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1991
Last certification
Aug 9, 2024
Beds
88
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
801 SE Park Crest Ave
Vancouver, WA 98683-1300
Nursing home name
AVAMERE REHABILITATION OF CASCADE PARK
Affiliated entity
AVAMERE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avamere Rehabilitation of Cascade ParkCCN 505389
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8881.6 residents per day on average
Chain
Avamere27 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0637551Avamere Rehabilitation of Cascade Park801 SE Park Crest Ave, Vancouver, WA 98683Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Karl Rickard Miller Individual 5% Or Greater Indirect Ownership Interest Oct 16, 2014 100%
Ari Operations, LLC Organization, Wilsonville, OR LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 100%
Andrew Simpson Individual Corporate OfficerCfo Jun 1, 2024
Ariso LLC Organization, Wilsonville, OR LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 16, 2014 100%
Avamere Health Services LLC Organization, Wilsonville, OR LLC, For-profit Other Mar 1, 2015
Ryan Rose Individual W-2 Managing EmployeeAd; Aug 22, 2024
Other Nov 1, 2022
Avamere Group LLC Organization, Wilsonville, OR LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 16, 2014 100%
Mary Kofstad Individual Corporate OfficerCoo Feb 13, 2024
Christopher R Morris Individual Contracted Managing EmployeeMD; Sep 1, 2016

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1194120816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE PARK CREST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831300",
            "telephone_number": "360-260-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "503-570-3405"
    },
    "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 Cascade Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.