Organization Active NPI

Mta Homes at St. Andrews LLC

  • Alzheimer Center (Dementia Center)
  • Portland, OR
National Provider Identifier
1437920451
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
MTA HOMES AT ST. ANDREWS LLC
Practice address
7617 SE Main St
Portland, OR 97215-3075
Phone
(503) 257-7946
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Mark Remley
Title
Ceo
Phone
(503) 954-5534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

7617 SE Main St
Portland, OR 97215-3075

Mailing address

7617 SE Main St
Portland, OR 97215-3075
Phone (503) 257-7946

Other names 1

  • St. Andrews Memory Care Community Doing business as

National Provider Directory

National Provider Directory

Locations

7617 SE Main St
Portland, OR 97215
Phone (503) 257-7946

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1437920451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153075",
            "telephone_number": "503-257-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 SE MAIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153075",
            "telephone_number": "503-257-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTA HOMES AT ST. ANDREWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "REMLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-954-5534"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Andrews Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.