King City Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KING CITY REHAB, LLC

Doing business as

Avamere Rehabilitation of King City

Practice address

16485 SW Pacific Hwy
Tigard, OR 97224-3446

Phone

(503) 620-5141

Fax

(971) 223-0410

NPI assigned

Jul 16, 2006

Last updated

Jan 21, 2025By the provider in NPPES

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 Rehabilitation of King City Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295752236. Details of each certification follow.

• CCN 385132 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 385132

Legal name

KING CITY REHAB, LLC

Doing business as

AVAMERE REHABILITATION OF KING CITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1976

Last certification

Jul 19, 2024

Beds

148

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Avamere

Organization structure

LLCProprietary

Enrollment address

16485 SW Pacific Hwy
Tigard, OR 97224-3446

Nursing home name

AVAMERE REHABILITATION OF KING CITY

Affiliated entity

AVAMERE

Listed as

Avamere Rehabilitation of King CityCCN 385132 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jun 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14864.8 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.

• David P Larson, MD

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1992798599

  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 23

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

• Clackamas Rehabilitation, LLC

  dba Avamere Rehabilitation of Clackamas

  • Skilled Nursing Facility
  • Gladstone, OR
  • NPI 1518001205

  Avamere Health Services LLC, Avamere Skilled Advisors LLC, 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

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

  CMS ownership
• Eugene Rehabilitation, LLC

  dba Avamere Rehabilitation of Eugene

  • Skilled Nursing Facility
  • Eugene, OR
  • NPI 1265576946

  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

  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

  Avamere Health Services 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
• Peckham-Miller, Inc

  dba Avamere Rehabilitation of Hillsboro

  • Skilled Nursing Facility
  • Hillsboro, OR
  • NPI 1346267317

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

  CMS ownership
• Riverpark Operations, LLC

  dba Avamere Riverpark of Eugene

  • Skilled Nursing Facility
  • Eugene, OR
  • NPI 1467490144

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

  CMS ownership
• Sunnyside Operations LLC

  dba Avamere Transitional Care at Sunnyside

  • Skilled Nursing Facility
  • Salem, OR
  • NPI 1699198812

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

  CMS ownership

Affiliated clinicians 1

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

• Christina Leigh Oliver, M.D.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1386953115

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1295752236",
    "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": "16485 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243446",
            "telephone_number": "503-620-5141",
            "fax_number": "971-223-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CITY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "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": "NU",
            "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 King City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Kilton
• Aileen Kim, MD
• Edward Kim
• Hyoshin Kim, ND
• Rie Kimura-Opperman, D.M.D.
• Foster A King, DPT
• Gates T King
• Georgia King
• Kelly Marie King, P.A.
• Sonya M King, LMT

• Skilled Nursing Facility in Tigard, OR
• Providers in Tigard, 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.