Active NPI
Osprey Alf, LLC
- Assisted Living Facility
- McMinnville, OR
National Provider Identifier
1285250837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OSPREY ALF, LLC
- Practice address
- 345 SW Hill Rd
McMinnville, OR 97128-9588 - Phone
- (503) 435-1000
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Roderick
- Title
- Member
- Phone
- (503) 443-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
345 SW Hill Rd
McMinnville, OR 97128-9588
Mailing address
7420 SW Bridgeport Rd Ste 105
Portland, OR 97224-7790
Phone (503) 597-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519981 | Medicaid | OR |
Other names 1
- Vineyard Heights Assisted Living and Retirement Cottages
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2194088 | Vineyard Heights Assisted Living and | Certificate of waiver | Sep 27, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592524800000",
"number": "1285250837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 SW BRIDGEPORT RD STE 105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247790",
"telephone_number": "503-597-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SW HILL RD",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971289588",
"telephone_number": "503-435-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSPREY ALF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A",
"authorized_official_last_name": "RODERICK",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-443-1818"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "519981",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vineyard Heights Assisted Living and Retirement Cottages",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.