Active NPI
Northwest HC Oak Park Or Operator NT-Hci LLC
- Assisted Living Facility
- Roseburg, OR
National Provider Identifier
1639797103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NORTHWEST HC OAK PARK OR OPERATOR NT-HCI LLC
- Practice address
- 1400 NE Rocky Ridge Dr
Roseburg, OR 97470-5673 - Phone
- (212) 547-2600
- NPI assigned
- Jul 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Harrington
- Title
- Managing Director
- Phone
- (212) 547-2659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1400 NE Rocky Ridge Dr
Roseburg, OR 97470-5673
Mailing address
590 Madison Ave FL 34
New York, NY 10022-8533
Phone (212) 547-2600
Other names 1
- Avamere at Oak Park
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2202267 | Avamere at Oak Park | Certificate of waiver | Nov 24, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594339200000",
"number": "1639797103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MADISON AVE FL 34",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228533",
"telephone_number": "212-547-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NE ROCKY RIDGE DR",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974705673",
"telephone_number": "212-547-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST HC OAK PARK OR OPERATOR NT-HCI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A",
"authorized_official_last_name": "HARRINGTON",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "212-547-2659"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avamere at Oak Park",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.