Active NPI
Oceanview Reitirement & Assisted Living, LLC
- Assisted Living Facility
- Newport, OR
National Provider Identifier
1760608962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 70M068
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502834 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI 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.