Organization Active NPI

Oceanview Reitirement & Assisted Living, LLC

  • Assisted Living Facility
  • Newport, OR
National Provider Identifier
1760608962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
70M068 Issued in OR
Legal business name
OCEANVIEW REITIREMENT & ASSISTED LIVING, LLC
Practice address
525 NE 71St St
Newport, OR 97365-9300
Phone
(541) 574-0550
Fax
(541) 574-7713
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Taylor
Title
Executive Director
Phone
(541) 574-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 70M068 OR Primary

Addresses

Primary practice location

525 NE 71St St
Newport, OR 97365-9300

Mailing address

4610 NE 77TH Ave
Suite 132
Vancouver, WA 98662-6789
Phone (360) 449-4524

Other identifiers 1

IdentifierTypeStateIssuer
502834MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760608962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NE 77TH AVE",
            "address_2": "SUITE 132",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626789",
            "telephone_number": "360-449-4524",
            "fax_number": "360-449-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NE 71ST ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659300",
            "telephone_number": "541-574-0550",
            "fax_number": "541-574-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIEW REITIREMENT & ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-574-0550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OR",
            "license": "70M068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502834",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.