NPIMap

Organization Active NPI

Sapphire at Myrtle Point, LLC

Doing business as Myrtle Point Rehabilitation and Care

  • Skilled Nursing Facility
  • Myrtle Point, OR
National Provider Identifier
1346956406
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 MYRTLE POINT, LLC
Doing business as
Myrtle Point Rehabilitation and Care
Practice address
637 Ash St
Myrtle Point, OR 97458-1133
Phone
(541) 572-2066
Fax
(541) 572-5477
NPI assigned
Jan 23, 2023
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 Primary

Addresses

Primary practice location

637 Ash St
Myrtle Point, OR 97458-1133

Mailing address

305 NE 102ND Ave Ste 250
Portland, OR 97220-4170
Phone (503) 254-7923

Other identifiers 1

IdentifierTypeStateIssuer
500823236MedicaidOR

Other names 1

  • Myrtle Point Rehabilitation and Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908001352 OR Part A Provider - Skilled Nursing Facility 6002270170 Practice locations: Myrtle Point, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346956406. Details of each certification follow.

Skilled nursing facility certification: CCN 385254

Legal name
SAPPHIRE AT MYRTLE POINT, LLC
Doing business as
MYRTLE POINT REHABILITATION & CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 12, 1997
Last certification
Nov 8, 2024
Beds
35
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Sapphire Health Services
Organization structure
LLCProprietary
Incorporated
Jan 20, 2023 in OR
Enrollment address
637 Ash St
Myrtle Point, OR 97458-1133
Nursing home name
MYRTLE POINT REHABILITATION & CARE
Affiliated entity
SAPPHIRE HEALTH SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Myrtle Point Rehabilitation & CareCCN 385254 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 12, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3525.4 residents per day on average
Chain
Sapphire Health Services8 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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 Sep 1, 2023
Adp of the SNF Jun 30, 2025
MHD Tarek Nashawi Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Andrew L Becker Individual 5% Or Greater Direct Ownership InterestMember Jan 20, 2023 30%
Nathan Vance Individual Operational/Managerial Control May 1, 2025
Adp of the SNF May 1, 2025
Lisa J Hilty Individual 5% Or Greater Direct Ownership InterestMember Jan 20, 2023 25%
Kevin Ricker Individual 5% Or Greater Direct Ownership InterestMember Jan 20, 2023 40%
Bryan Morris Individual 5% Or Greater Direct Ownership InterestMember Jan 20, 2023 5%
Myrtle Point HC Investors, LLC Organization, Portland, OR LLC, Holding company Adp of the SNF May 27, 2025

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 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1346956406",
    "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": "503-254-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 ASH ST",
            "city": "MYRTLE POINT",
            "state": "OR",
            "postal_code": "974581133",
            "telephone_number": "541-572-2066",
            "fax_number": "541-572-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE AT MYRTLE POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500823236",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myrtle Point Rehabilitation and Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Point, OR

Sources for this page

Verify at the official NPI Registry.