NPIMap

Organization Active NPI

Sapphire at Gateway LLC

Doing business as Gateway Care and Retirement

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1225445364
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAPPHIRE AT GATEWAY LLC
Doing business as
Gateway Care and Retirement
Practice address
39 NE 102ND Ave
Portland, OR 97220-4103
Phone
(503) 252-2461
NPI assigned
Jul 22, 2014
Last updated
Nov 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Kevin Michael Ricker
Title
Managing Member
Phone
(503) 887-7395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OR Primary

Addresses

Primary practice location

39 NE 102ND Ave
Portland, OR 97220-4103

Mailing address

305 NE 102ND Ave Ste 250
Portland, OR 97220-4170
Phone (503) 446-2877

Other identifiers 1

IdentifierTypeStateIssuer
500680605MedicaidOR

Other names 1

  • Gateway Care and Retirement Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141111000408 OR Part A Provider - Skilled Nursing Facility 9335361195 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225445364. Details of each certification follow.

Skilled nursing facility certification: CCN 385268

Legal name
SAPPHIRE AT GATEWAY LLC
Doing business as
GATEWAY CARE AND RETIREMENT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 2003
Last certification
May 12, 2025
Beds
59
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sapphire Health Services
Most recent change of ownership
Dec 31, 2014
Organization structure
LLCProprietary
Incorporated
Jul 15, 2014 in OR
Enrollment address
39 NE 102ND Ave
Portland, OR 97220-4103
Nursing home name
GATEWAY CARE AND RETIREMENT
Affiliated entity
SAPPHIRE HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gateway Care and RetirementCCN 385268 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5956.7 residents per day on average
Chain
Sapphire Health Services8 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 7

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

NameRoleSinceShare
Sapphire Healthcare SRVS. Organization, Portland, OR LLC, Management services company Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jun 22, 2025
Andrew L Becker Individual 5% Or Greater Direct Ownership InterestMember Jan 1, 2018 10%
Seth Millington Individual Operational/Managerial Control Feb 17, 2025
Adp of the SNF Feb 17, 2025
Kevin Ricker Individual 5% Or Greater Direct Ownership InterestMember Jul 15, 2014 90%
Altea Medical Oregon LLC Organization, Bellingham, WA Medical provider/supplier Operational/Managerial Control Jan 1, 2024
Adp of the SNF Oct 1, 2025
Organization, Laguna Hills, CA LLC, Holding company, Real estate investment trust (REIT) Adp of the SNF Jan 1, 2015
Deborah Kempe Ames Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 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 7

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

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": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1225445364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NE 102ND AVE STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204170",
            "telephone_number": "503-446-2877",
            "fax_number": "503-764-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204103",
            "telephone_number": "503-252-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE AT GATEWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-887-7395"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500680605",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Care and Retirement",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Care and Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.