Organization Active NPI

Northwest HC Oak Park Or Operator NT-Hci LLC

  • Assisted Living Facility
  • Roseburg, OR
National Provider Identifier
1639797103
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jul 10, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2202267Avamere at Oak Park1400 Rocky Ridge Drive, Roseburg, OR 97470Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.