Ysa Group Operating Company LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

YSA GROUP OPERATING COMPANY LLC

Doing business as

Kellyville RCF

Practice address

12221 SE Kelly St
Portland, OR 97236-3231

Phone

(503) 954-2561

NPI assigned

Mar 7, 2025

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Ton

Title

Managing Director

Phone

(503) 805-0677

Specialties & licenses 1

Addresses

Other names 1

• Kellyville RCF Doing business as

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1639978224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 SE KELLY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363231",
            "telephone_number": "503-954-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 SE KELLY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363231",
            "telephone_number": "503-954-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YSA GROUP OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "TON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "503-805-0677"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kellyville RCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmin Yousuf, MD
• Youth Guidance Association
• Youth Progress Association
• David S Ypparila Sr.
• Austyn Yroz-Atnip, PSS/CRM
• Edward Theodore Ysunza IV
• Yu Jin Lee, Lac.
• Becky Yu
• Dylan Yu, MD
• In Hyong Yu, LAC

• Assisted Living Facility in Portland, OR
• Providers in Portland, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.