Organization Active NPI

Avamere Hillsboro Cottages Operations, LLC

  • Assisted Living Facility
  • Hillsboro, OR
National Provider Identifier
1396359535
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AVAMERE HILLSBORO COTTAGES OPERATIONS, LLC
Practice address
2000 SE 30TH Ave
Hillsboro, OR 97123-8195
Phone
(503) 693-9944
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Karl R. Miller Jr.
Title
Ceo
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2000 SE 30TH Ave
Hillsboro, OR 97123-8195

Mailing address

2000 SE 30TH Ave
Hillsboro, OR 97123-8195
Phone (503) 693-9944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1396359535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SE 30TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238195",
            "telephone_number": "503-693-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE 30TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238195",
            "telephone_number": "503-693-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAMERE HILLSBORO COTTAGES OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.