Pointe Side Opco LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

POINTE SIDE OPCO LLC

Doing business as

timber pointe senior living community; woodside senior living community

Practice address

4865 Main St
Springfield, OR 97478-6057

Phone

(541) 284-2865

NPI assigned

Jan 13, 2025

Last updated

Jan 13, 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

Trevor Wart

Title

Manager

Phone

(503) 706-6918

Specialties & licenses 1

Addresses

Other names 1

• timber pointe senior living community; woodside senior living community Doing business as

Locations

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1316757123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LAKEVIEW BLVD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641120",
            "telephone_number": "503-706-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974786057",
            "telephone_number": "541-284-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE SIDE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "WART",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-706-6918"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "timber pointe senior living community; woodside senior living community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Planned Parenthood of Southwestern Oregon
• Plaza de Nuestra Comunidad
• Jamie Pleich, M.A., LPC
• Karen Poague, PT
• Willem Poelmans, PA-C
• Carly Policha, FNP
• Kayla Ayne Pollard
• Elena Poole
• Rachel Jane Poplack
• Carly Porat, MD

• Custodial Care Facility in Springfield, OR
• Providers in Springfield, OR by specialty
• Custodial Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.