Organization Active NPI

Monterey MC Care Properties, LLC

Doing business as Monterey Court Memory Care

  • Assisted Living Facility
  • Happy Valley, OR
National Provider Identifier
1588280275
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MONTEREY MC CARE PROPERTIES, LLC
Doing business as
Monterey Court Memory Care
Practice address
8915 SE Monterey Ave
Happy Valley, OR 97086-7509
Phone
(503) 654-3230
Fax
(503) 654-3800
NPI assigned
Jun 18, 2020
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Gregory Roderick
Title
Member
Phone
(503) 443-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

8915 SE Monterey Ave
Happy Valley, OR 97086-7509

Mailing address

7420 SW Bridgeport Rd Ste 105
Portland, OR 97224-7790
Phone (503) 597-4906

Other names 1

  • Monterey Court Memory Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1588280275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 SE MONTEREY AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867509",
            "telephone_number": "503-654-3230",
            "fax_number": "503-654-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY MC CARE PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey Court Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.